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Celiac artery aneurysm: Ultrasonic diagnosis

Celiac artery aneurysm: Ultrasonic diagnosis Gary M. Herzler, MD, Terry M. Silver, MD, Linda M. Graham, MD, and James C. Stanley, MD Celiac artery aneurysms represent an important, although unusual, form of splanchnic vascular disease. Since rupture is a significant complication, surgical intervention is recommended following diagnosis.' Inasmuch as most celiac aneurysms are asymptomatic or present with vague epigastric pain prior to rupture, preoperative diagnosis is infrequent and is usually made incidentally during unrelated surgery or angiography. To our knowledge, a case in which routine abdominal sonography provided the correct diagnosis initially has not been reported. CASE REPORT splenic artery. No associated inflammatory tissue, pancreatic abnormality, or blood clot suggesting prior rupture was found. The patient experienced an uneventful postoperative course and was asymptomatic three months following aneurysmectomy . DISCUSSION A 68-yr-old white woman presented to her primary care physician with a 15-month history of occasional nausea and vague abdominal discomfort, without associated pain, weight loss, or vomiting. Physical examination was normal, without palpable mass or tenderness. An ultrasound examination performed at another institution reportedly showed a pancreatic pseudocyst. She was subsequently referred to the University of Michigan Medical Center for further evaluation, where an upper GI series demonstrated a possible retrogastric mass. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Clinical Ultrasound Wiley

Celiac artery aneurysm: Ultrasonic diagnosis

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References (7)

Publisher
Wiley
Copyright
Copyright © 1981 Wiley Periodicals, Inc., A Wiley Company
ISSN
0091-2751
eISSN
1097-0096
DOI
10.1002/jcu.1870090310
Publisher site
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Abstract

Gary M. Herzler, MD, Terry M. Silver, MD, Linda M. Graham, MD, and James C. Stanley, MD Celiac artery aneurysms represent an important, although unusual, form of splanchnic vascular disease. Since rupture is a significant complication, surgical intervention is recommended following diagnosis.' Inasmuch as most celiac aneurysms are asymptomatic or present with vague epigastric pain prior to rupture, preoperative diagnosis is infrequent and is usually made incidentally during unrelated surgery or angiography. To our knowledge, a case in which routine abdominal sonography provided the correct diagnosis initially has not been reported. CASE REPORT splenic artery. No associated inflammatory tissue, pancreatic abnormality, or blood clot suggesting prior rupture was found. The patient experienced an uneventful postoperative course and was asymptomatic three months following aneurysmectomy . DISCUSSION A 68-yr-old white woman presented to her primary care physician with a 15-month history of occasional nausea and vague abdominal discomfort, without associated pain, weight loss, or vomiting. Physical examination was normal, without palpable mass or tenderness. An ultrasound examination performed at another institution reportedly showed a pancreatic pseudocyst. She was subsequently referred to the University of Michigan Medical Center for further evaluation, where an upper GI series demonstrated a possible retrogastric mass.

Journal

Journal of Clinical Ultrasound – Wiley

Published: Mar 1, 1981

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