Isolated celiac artery aneurysm with splenic artery stenosis as a rare presentation of polyarteritis nodosum: A case report and review of the literature

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Presentation transcript:

Isolated celiac artery aneurysm with splenic artery stenosis as a rare presentation of polyarteritis nodosum: A case report and review of the literature Marc A. Adajar, MD, Thomas Painter, MD, Suzanne Woloson, MD, Vanchad Memark, MD Journal of Vascular Surgery Volume 44, Issue 3, Pages 647-650 (September 2006) DOI: 10.1016/j.jvs.2006.04.051 Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 1 Inflammation completely surrounding the celiac artery is noted on computed tomographic scan. An infarction secondary to splenic artery stenosis can be seen at the lower pole of the spleen. Journal of Vascular Surgery 2006 44, 647-650DOI: (10.1016/j.jvs.2006.04.051) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 2 A repeat computed tomographic scan of the abdomen shows persistence of the inflammation surrounding the celiac artery. Journal of Vascular Surgery 2006 44, 647-650DOI: (10.1016/j.jvs.2006.04.051) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 3 The celiac artery aneurysm can be clearly seen on the abdominal arteriogram. There is little, if any, involvement of the kidney. Journal of Vascular Surgery 2006 44, 647-650DOI: (10.1016/j.jvs.2006.04.051) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 4 Significant resolution of the surrounding inflammation 6 weeks later with a slight decrease in aneurysm size (arrow). The splenic infarction has not progressed. Journal of Vascular Surgery 2006 44, 647-650DOI: (10.1016/j.jvs.2006.04.051) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions