Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2009 Aug 28;3(2):230-234.
doi: 10.1159/000227735.

Aneurysm of the Superior Posterior Pancreatic-Duodenal Artery Presenting with Recurrent Syncopes

I A J van Doesburg  1 , D Boerma, M van Leersum, B van Ramshorst
Affiliations
Case Reports

Aneurysm of the Superior Posterior Pancreatic-Duodenal Artery Presenting with Recurrent Syncopes

I A J van Doesburg et al. Case Rep Gastroenterol. .

Abstract

We present a 61-year-old woman with hypovolemic shock due to a ruptured aneurysm of the superior posterior pancreatic-duodenal artery in whom recurrent syncopes were the first presenting sign of pancreatic-duodenal artery aneurysm (PDAA). PDAA is a rare but life-threatening condition. The widely varying symptomatology may lead to a delay in diagnosis and treatment. Patients with atypical symptoms, such as vague abdominal pain, recurrent dizziness or syncope, may actually suffer from a sentinel bleeding of the vascular malformation. Radiological imaging, especially selective angiography, may provide a diagnostic as well as a therapeutic tool in these patients.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
An active extravasation of contrast arising from a branch of the superior mesenteric artery with a large haematoma around the duodenum.
Fig. 2
Fig. 2
Selective angiography of the superior mesenteric artery. Approximately 5 cm from the major branch a small bleeding infarction is visible. Also, a large connection between the superior mesenteric artery and the celiac trunk via the gastroduodenal artery is present. This connection is also feeding the small bleeding.
See this image and copyright information in PMC

References

    1. Stabile BE, Wilson SE, Debas HT. Reduced mortality from bleeding pseudocysts and pseudoaneurysms caused by pancreatitis. Arch Surg. 1983;118:45–51. - PubMed
    1. Sharif MA, O'Donnell ME, Johnston LC, Lau LL. Successful surgical management of a ruptured true pancreaticoduodenal artery aneurysm following failed transcatheter embolization. Vascular. 2007;15:231–234. - PubMed
    1. de Perrot M, Berney T, Deléaval J, Bühler L, Mentha G, Morel P. Management of true aneurysms of the pancreaticoduodenal arteries. Ann Surg. 1999;229:416–420. - PMC - PubMed
    1. Eckhauser FE, Stanley JC, Zelenock GB, Borlaza GS, Freier DT, Lindenauer SM. Gastroduodenal and pancreaticoduodenal artery aneurysms: a complication of pancreatitis causing spontaneous gastrointestinal hemorrhage. Surgery. 1980;88:335–344. - PubMed
    1. Quandalle P, Chambon JP, Marache P, Saudemont A, Maes B. Pancreaticoduodenal artery aneurysms associated with celiac axis stenosis: report of two cases and review of the literature. Ann Vasc Surg. 1990;4:540–545. - PubMed

Publication types