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Giant celiac artery aneurysm - a rare experience.
V B Mulpuri1, V Gupta1, S Kumarasamy1
1Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Annals of the Royal College of Surgeons of England
|January 4, 2022
Summary
Giant celiac artery aneurysms are rare vascular conditions. This case highlights surgical repair with aortohepatic bypass, emphasizing revascularization for adequate liver blood flow.
Area of Science:
- Vascular Surgery
- Abdominal Aortic Aneurysm
- Gastrointestinal Surgery
Background:
- Giant celiac artery aneurysms are exceedingly rare, posing diagnostic and therapeutic challenges.
- Abdominal pain is a common presentation, necessitating thorough investigation for underlying vascular pathology.
Observation:
- A 45-year-old male with chronic kidney disease presented with chronic abdominal pain.
- CT imaging revealed a large celiac artery aneurysm (6x6.2cm) compressing the portal vein and involving the common hepatic artery.
Findings:
- Surgical management involved aneurysm neck clamping and division.
- Aortohepatic bypass using PTFE graft was performed due to diminished hepatic artery flow, with successful revascularization and ligation of the left hepatic artery.
- Postoperative liver function tests normalized, and Doppler sonography confirmed adequate distal hepatic artery flow.
Implications:
- This case underscores the importance of surgical intervention for symptomatic giant celiac artery aneurysms.
- Successful revascularization, such as aortohepatic bypass, is crucial for preserving liver function.
- Prompt diagnosis and tailored management are essential for favorable outcomes in rare celiac artery aneurysms.
