J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 412KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 89(1): 133-136, 1988

Case report

A CASE OF RUPTURE OF POSTERIOR PANCREATICODUODENAL ARTERY ANEURYSM

Kikugawa Hospital, Shizuoka, Japan
*) First Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan

Noriyuki Oba, Shigeo Mori, Akira Nakagomi, Sadao Iwama, Yukio Harada*), Keizo Yoshimura*)

A 75 years old man complaining of right upper abdominal pain was admitted to our hospital. He became shock with hypotention and cold sweat, and immediately underwent operation.
Laparotomy revealed massive hemorrhage in the retroperitoneal region, particularly in the right upper space. It was derived from the rupture of the posterior pancreaticoduodenal artery aneurysm. The arterial trunk was ligated above and below the aneurysm and the aneurysmectomy was carried out. The patient recovered and was discharged from the hospital 56 days after operation. There was no other visceral artery aneurysm and the etiology of this aneurysm was unknown.
Four cases of pancreaticoduodenal artery aneurysm have been reported in Japan and three of them were operated, but this is the firstsurgically resected case for the rupture of pancreaticoduodenal artery aneurysm with success.

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