Endovascular Treatment of Multiple Pancreaticoduodenal Artery Aneurysms Associated with Celiac Artery Stenosis: A Case Report.

Abstract

This case report details the endovascular treatment of multiple pancreaticoduodenal artery (PDA) aneurysms associated with celiac artery stenosis in a 54-year-old male presenting with postprandial abdominal pain. Contrast-enhanced abdominal computed tomography (CT) revealed critical stenosis of the celiac artery and three saccular PDA aneurysms measuring 34, 15, and 21 mm in diameter. Following unsuccessful attempts to access the celiac artery, the aneurysms were embolized in a retrograde manner from the superior mesenteric artery using detachable coils. Follow-up ultrasonography and CT 1 month later indicated reopening of the distal aneurysm, which was subsequently re-embolized. The patient was monitored for 10 months, during which the aneurysm remained occluded. This report highlights the approach and results of endovascular treatment in managing multiple PDA aneurysms in the context of untreated celiac artery stenosis, emphasizing the importance of close surveillance.