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. 2017:33:115-118.
doi: 10.1016/j.ijscr.2017.02.018. Epub 2017 Feb 27.

Successfully-treated asymptomatic celiac artery aneurysm: A case report

Nobuhiro Takeuchi  1 , Junichi Soneda  2 , Hiromichi Naito  3 , Atsuyoshi Iida  4 , Tetsuya Yumoto  5 , Kohei Tsukahara  6 , Atsunori Nakao  7
Affiliations

Successfully-treated asymptomatic celiac artery aneurysm: A case report

Nobuhiro Takeuchi et al. Int J Surg Case Rep. 2017.

Abstract

Background: Celiac artery aneurysm is a rare vascular lesion. It is frequently discovered after rupture, which leads to death in most cases. We present a case of an asymptomatic celiac artery aneurysm discovered in a 72-year-old female during an evaluation for high grade fever and general fatigue.

Case presentation: The patient visited our department with complaints of fever and general fatigue. The patient's medical history included type 2 diabetes mellitus with poor control and hypertension. Blood culture and urine culture that were submitted at arrival presented E. Coli. Then, she was diagnosed with bacteremia by urinary tract infection. Transesophageal echocardiography revealed no vegetation at her valves. Computed tomography was performed for investigating her urological abnormalities, revealing a 28×30 mm aneurysm at the trunk of the celiac artery. Blood and urine cultures submitted at arrival were positive for E. coli. Surgical repair performed after the improvement of her urinary tract infection revealed a non-infective aneurysm; thus, aneurysm closure and prosthetic grafting were conducted.

Conclusion: Clinician awareness regarding this rare entity and discovery efforts to discover the splanchnic aneurysm before rupturing are imperative.

Keywords: Celiac aneurysm; Splanchnic aneurysm; Surgical repair.

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Figures

Fig. 1
Fig. 1
A) Contrast-enhanced computed tomography revealed a 28 × 30 mm size celiac artery aneurysm 10 mm distal to the outlet of the artery. B) Volume rendering of computed tomography revealed an aneurysm that had a common trunk of the hepatic and splenic artery. C) Angiography revealed that blood flow of proper hepatic artery was dominantly supplied from the celiac artery. D) Surgical findings revealed an exposed celiac artery aneurysm. E, F) Schema shows pre- and post-operative findings.
See this image and copyright information in PMC

References

    1. Pulli R., Dorigo W., Troisi N., Pratesi G., Innocenti A.A., Pratesi C. Surgical treatment of visceral artery aneurysms: a 25-year experience. J. Vasc. Surg. 2008;48(2):334–342. - PubMed
    1. Stone W.M., Abbas M.A., Gloviczki P., Fowl R.J., Cherry K.J. Celiac arterial aneurysms: a critical reappraisal of a rare entity. Arch. Surg. 2002;137(6):670–674. - PubMed
    1. McMullan D.M., McBride M., Livesay J.J., Dougherty K.G., Krajcer Z. Celiac artery aneurysm: a case report. Tex. Heart Inst. J. 2006;33(2):235–240. - PMC - PubMed
    1. Pasha S.F., Gloviczki P., Stanson A.W., Kamath P.S. Splanchnic artery aneurysms. Mayo Clin. Proc. 2007;82(4):472–479. - PubMed
    1. Rokke O., Sondenaa K., Amundsen S., Bjerke-Larssen T., Jensen D. The diagnosis and management of splanchnic artery aneurysms. Scand. J. Gastroenterol. 1996;31(8):737–743. - PubMed

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