Aneurisma de la arteria gastroduodenal asociada con estenosis del tronco celíaco

Introduction. Aneurysms of the gastroduodenal artery constitute a rare condition, although their association with an occlusion or with stenosis of the celiac trunk is well known. Case report. A 43-year-old female who was referred to our service after the results of abdominal ultrasonography performed following a 6-month history of lower abdominal pain included images that were consistent with vascular abnormalities related to the head of the pancreas. CT-angiography showed two aneurysms in the gastroduodenal artery associated with an occlusion of the origin of the celiac trunk. The shortage of blood flow produced by this stenosis was compensated by an elongated, dilated gastroduodenal artery. Through midline laparotomy, the gastroduodenal artery both proximal and distal to the aneurysms was ligated and sectioned and it was re-implanted in the abdominal aorta. The patient was discharged following remission of her symptoms and with thrombosis of the aneurysms proven by CT-angiography. Conclusions. Surgical treatment by means of resection is still a valid approach for this kind of condition. Although some authors recommend concomitant treatment of the stenosis of the celiac trunk, failing to treat it has not proved to lead to a higher rate of relapses. [ANGIOLOGÍA 2009; 61: 41-5]