Pancreaticoduodenal artery aneurysm simulating carcinoma of the head of the pancreas
M. Scheflan, S. Kadir, C. A. Athanasoulis and S. E. Hedberg
Aneurysms of the pancreaticoduodenal arcades, although uncommon, may
rupture and produce symptoms similar to those of pancreatic carcinoma. We
describe one patient with a ruptured interior pancreaticoduodenal artery
aneurysm and a large hematoma in the pancreatic head. He had a three-week
history of painless jaundice. Angiography was essential in establishing the
diagnosis and defining a vascular road map preoperatively. The surgical
management involved resection of the aneurysm and vascular reconstruction.