A Case of Ruptured Inferior Pancreaticoduodenal Artery Aneurysm due to Median Arcuate Ligament Compression

Nicole Ilonzo, Anik Patel, Nii Koney, Rahul Patel and Grace Kim

Department of Surgery, Mount Sinai West Hospital, USA

^*Correspondance to: Nicole Ilonzo 

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Abstract:

Inferior pancreaticoduodenal artery aneurysms are rare, comprising approximately 2% of splanchnic aneurysms. These aneurysms are more often due to celiac stenosis from atherosclerosis but can also be due to median arcuate ligament syndrome. We report the case of a 68-year-old female with a history of unease with eating, who presented with retroperitoneal hemorrhage of unknown origin. CT angiography revealed a ruptured inferior pancreaticoduodenal artery aneurysm and celiac artery compression with the characteristic “hook” appearance, consistent with median arcuate ligament compression. The ruptured IPDA aneurysm was managed with endovascular coil embolization and the patient was discharged hemodynamically stable with stabilized hematocrits.

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Cite the Article:

Ilonzo N, Patel A, Koney N, Patel R, Kim G. A Case of Ruptured Inferior Pancreaticoduodenal Artery Aneurysm due to Median Arcuate Ligament Compression. Ann Clin Case Rep. 2017; 2: 1450.