Successfully-treated asymptomatic celiac artery aneurysm: A case report

Nobuhiro Takeuchi, Junichi Soneda, Hiromichi Naito, Atsuyoshi Iida, Tetsuya Yumoto, Kohei Tsukahara, Atsunori Nakao

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background Celiac artery aneurysm is a rare vascular lesion. It is frequently discovered after rupture, which leads to death in most cases. We present a case of an asymptomatic celiac artery aneurysm discovered in a 72-year-old female during an evaluation for high grade fever and general fatigue. Case presentation The patient visited our department with complaints of fever and general fatigue. The patient's medical history included type 2 diabetes mellitus with poor control and hypertension. Blood culture and urine culture that were submitted at arrival presented E. Coli. Then, she was diagnosed with bacteremia by urinary tract infection. Transesophageal echocardiography revealed no vegetation at her valves. Computed tomography was performed for investigating her urological abnormalities, revealing a 28 × 30 mm aneurysm at the trunk of the celiac artery. Blood and urine cultures submitted at arrival were positive for E. coli. Surgical repair performed after the improvement of her urinary tract infection revealed a non-infective aneurysm; thus, aneurysm closure and prosthetic grafting were conducted. Conclusion Clinician awareness regarding this rare entity and discovery efforts to discover the splanchnic aneurysm before rupturing are imperative.

Original languageEnglish
Pages (from-to)115-118
Number of pages4
JournalInternational Journal of Surgery Case Reports
Volume33
DOIs
Publication statusPublished - 2017

Fingerprint

Celiac Artery
Aneurysm
Urinary Tract Infections
Fatigue
Fever
Urine
Escherichia coli
Viscera
Transesophageal Echocardiography
Bacteremia
Type 2 Diabetes Mellitus
Blood Vessels
Rupture
Tomography
Hypertension

Keywords

  • Celiac aneurysm
  • Splanchnic aneurysm
  • Surgical repair

ASJC Scopus subject areas

  • Surgery

Cite this

Successfully-treated asymptomatic celiac artery aneurysm : A case report. / Takeuchi, Nobuhiro; Soneda, Junichi; Naito, Hiromichi; Iida, Atsuyoshi; Yumoto, Tetsuya; Tsukahara, Kohei; Nakao, Atsunori.

In: International Journal of Surgery Case Reports, Vol. 33, 2017, p. 115-118.

Research output: Contribution to journalArticle

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