Details

Autor(en) / Beteiligte

• Ishihara, Tatsuhiko
• Matsui, Toru
• Katoh, Tomoji
• Kobayashi, Katsuya
• Sekigawa, Kenichiro
• Suzuki, Takeo
• Mitsui, Hiroshi

Titel

Pancreaticoduodenal Artery Aneurysm Rupture Presenting as Duodenal Obstruction Successfully Treated with Early Transcatheter Arterial Embolization: A Case Report of Suspected Segmental Arterial Mediolysis

Ist Teil von

• Internal Medicine, 2023/12/01, Vol.62(23), pp.3479-3482

Ort / Verlag

Japan: The Japanese Society of Internal Medicine

Erscheinungsjahr

2023

Quelle

MEDLINE

Beschreibungen/Notizen

• Visceral aneurysms are a rare but important form of abdominal vascular disease. Rupture of the aneurysms leads to serious symptoms, such as acute abdomen or abdominal bleeding. However, duodenal obstruction due to arterial rupture of an aneurysm is very rare. We herein report a 50-year-old woman with suspected segmental arterial mediolysis (SAM) who was first diagnosed with acute abdomen and duodenal obstruction. Rupture of a pancreaticoduodenal artery aneurysm was confirmed, and she was treated with transcatheter arterial embolization. In cases of acute abdomen, SAM is a rare but important possibility to consider as a differential diagnosis.