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Infective aneurysm of the inferior pancreaticoduodenal artery

J M L Williamson1, J L Cook, J E Jackson

  • 1Great Western Hospital, Swindon, UK. jmlw@doctors.org.uk

Annals of the Royal College of Surgeons of England
|September 21, 2011
PubMed
Abstract

Insights

A rare case of infected pancreaticoduodenal artery pseudoaneurysm, a complication of sepsis, was successfully treated with transcatheter embolisation. This minimally invasive procedure effectively excluded the pseudoaneurysm, preventing recurrence and offering a low-risk therapeutic option.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Gastroenterology

Background:

  • Pancreaticoduodenal (PD) artery aneurysms are rare, comprising less than 2% of splanchnic aneurysms.
  • Mycotic (infective) aetiology for PD artery aneurysms is exceptionally uncommon.
  • Infective pseudoaneurysms can lead to severe complications like gastrointestinal or retroperitoneal rupture.

Purpose of the Study:

  • To report a rare case of an infected inferior PD artery pseudoaneurysm.
  • To highlight the successful management of this condition using transcatheter embolisation.
  • To emphasize the efficacy and safety of embolisation for PD artery pseudoaneurysms.

Main Methods:

  • Diagnosis was established through ultrasonography and computed tomography.
  • Treatment involved transcatheter embolisation of the pseudoaneurysm.
  • The procedure aimed for complete exclusion of the pseudoaneurysm from circulation.

Main Results:

  • Successful treatment of an inferior PD artery pseudoaneurysm with associated mesenteric root haematoma.
  • Transcatheter embolisation achieved complete exclusion of the pseudoaneurysm.
  • The patient experienced a successful outcome with no reported recurrence.

Conclusions:

  • Infective PD artery pseudoaneurysms, though rare, require prompt and effective management.
  • Transcatheter embolisation is a highly effective and minimally invasive treatment for PD artery pseudoaneurysms.
  • Complete exclusion via embolisation is crucial for preventing recurrence and ensuring favourable patient outcomes.

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