Retroperitoneal Hematoma Caused by Ruptured Pancreaticoduodenal Artery Aneurysm.
- Author:
Yung Suk KIM
1
;
In Kyu LEE
;
Yoon Suk LEE
;
Hae Myung JEUN
;
Suk Kyun CHANG
;
Soon Nam OH
;
Sang Hun LEE
Author Information
1. Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. cmcgslee@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Pancreaticoduodenal artery;
Aneurysm;
Retroperitoneal hematoma
- MeSH:
Abdominal Pain;
Aged;
Aneurysm*;
Aneurysm, Ruptured;
Arteries*;
Dyspnea;
Early Diagnosis;
Emergencies;
Hematoma*;
Hemorrhage;
Humans;
Mortality
- From:Journal of the Korean Surgical Society
2005;68(3):244-246
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A ruptured aneurysm of the pancreaticoduodenal arteries is an emergency condition, with a high mortality rate. Therefore, early diagnosis and adequate management are needed. Recently, treatment with a transcatheter arterial embolization has decreased the mortality rate. A 68-year-old man presented with persistent abdominal pain and dyspnea. Contrast abdominal computed tomography revealed a large retroperitoneal hematoma, with an actively bleeding focus. An urgent celiac and superior pancreaticoduodenal arteriogram showed a contrast extravasation, about 15 X 8 mm in size, with a saccular aneurysm of the distal anterior superior pancreaticoduodenal artery; therefore transcatheter arterial embolization was performed. The patient's condition improved without complication after the embolization.
