Aneurysm of the pancreaticoduodenal arteries with a celiac trunk lesion: current management E Ducasse, MD, PhD, F Roy, MD, J Chevalier, MD, D Massouille,

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Aneurysm of the pancreaticoduodenal arteries with a celiac trunk lesion: current management E Ducasse, MD, PhD, F Roy, MD, J Chevalier, MD, D Massouille, MD, M Smith, MD, F Speziale, MD, P Fiorani, MD, P Puppinck, MD Journal of Vascular Surgery Volume 39, Issue 4, Pages 906-911 (April 2004) DOI: 10.1016/j.jvs.2003.09.049

Fig 1 CT scan shows a large retroperitoneal hematoma and a median arcuate ligament division that compressed the origin of the celiac trunk. Journal of Vascular Surgery 2004 39, 906-911DOI: (10.1016/j.jvs.2003.09.049)

Fig 2 Global profile arteriogram shows stenosis of the celiac trunk and a particularly dense collateral arterial network connecting the superior mesenteric artery to the celiac trunk. Journal of Vascular Surgery 2004 39, 906-911DOI: (10.1016/j.jvs.2003.09.049)

Fig 3 Selective catheterization of the posterior arcade shows an arterial malformation (arrow) with leakage of contrast material. Journal of Vascular Surgery 2004 39, 906-911DOI: (10.1016/j.jvs.2003.09.049)

Fig 4 Complete thrombosis of the malformation (coil 1, accumulation of two coils) and the posterior pancreaticoduodenal artery after embolization of the proximal part (coil 2) and preservation of the gastroduodenal artery. Journal of Vascular Surgery 2004 39, 906-911DOI: (10.1016/j.jvs.2003.09.049)

Fig 5 Postprocedural arteriogram after section of the median arcuate ligament confirms regression of the celiac axis stenosis initially observed (see Fig 2) and of the collateral network initially connecting the superior mesenteric artery and the celiac trunk. Journal of Vascular Surgery 2004 39, 906-911DOI: (10.1016/j.jvs.2003.09.049)