Surgical Resolution of Inferior Pancreaticoduodenal Artery Aneurysm: Case Report
De la Torre Diego1*, López Juan2, Gonzales Melissa2, Pacheco Fanny3
1Vascular and Endovascular Surgeon, Hospital de Especialidades Quito N°1 de la Policia Nacional, Ecuador.
2Vascular Surgeon, Hospital José Carrasco Arteaga, Ecuador.
3Family Physician. Difavasc, Centro de Cirugía Vascular, Diabetes y Pie diabético, Ecuador.
*Corresponding Author: Dr. Diego de la Torre. Vascular and Endovascular Surgeon. Hospital de Especialidades Quito N°1 de la Policia Nacional. Ecuador.
DOI: https://doi.org/10.58624/SVOAMR.2026.04.015
Received: June 08, 2026
Published: July 18, 2026
Citation: De la Torre D, López J, Gonzales M, Pacheco F. Surgical Resolution of Inferior Pancreaticoduodenal Artery Aneurysm: Case Report. SVOA Medical Research 2026, 4:4, 140-143. doi: 10.58624/SVOAMR.2026.04.015
Abstract
Pancreatoduodenal artery aneurysms (PDAA) are a very rare pathology, representing 2% of all splanchnic artery aneurysms. They have been associated with a high risk of rupture, mortality, and stenotic or occlusive disease of the celiac trunk. In the literature there are few case reports, Ferguson described the first case of superior pancreatodudodenal artery aneurysm in 1895. Reported cases of inferior PDAA have been associated with rupture. Regarding treatment, the surgical and endovascular option are the therapeutic options that should be depending on the case. We present a case report of a 65-year-old woman with a history of hypertension and hypertriglyceridemia presented with a 3-year history of stabbing epigastric pain and palpitations when lying down, without symptoms of intestinal angina. Physical examination revealed a palpable pulsatile epigastric mass. Abdominal ultrasound incidentally identified a visceral aneurysm, and computed tomography angiography confirmed a 3-cm inferior pancreaticoduodenal artery aneurysm (IPDAA). Selective angiography demonstrated communication between the aneurysm, a branch of the celiac trunk, and the superior mesenteric artery. Endovascular treatment was initially planned but proved unfeasible; therefore, open surgical repair was performed through a supraumbilical laparotomy with proximal and distal vascular control, aneurysm resection, and ligation. The postoperative course was uneventful, except for transient elevation of pancreatic enzymes, which normalized before discharge. At 1-and 3-month follow-up, the patient remained angiologically stable, with resolution of palpitations and no evidence of intestinal angina, although mild epigastric pain associated with dyspepsia persisted.
Keywords: Inferior pancreaticoduodenal artery aneurysm; Visceral artery aneurysm; Surgical treatment.