Skip to main content
SpringerLink
Log in

Mycotic Aneurysm of the Celiac Trunk: From Early CT Sign to Rupture

  • Case Reports
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

We present a case of the rapid development and rupture of a mycotic celiac trunk aneurysm. Initially on multislice computed tomography (ms-CT) there was a normal celiac trunk with minimal haziness of the surrounding fat. Only 2 weeks later the patient went into hypovolemic shock due to a ruptured celiac aneurysm. Although aneurysms of the visceral arteries are rare, they are of major clinical importance as they carry a life-threatening risk of rupture. This case illustrates the use of ms-CT in detecting and evaluating visceral aneurysms, in order to prevent emergency operation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1.
Fig. 2.

References

  1. Stanley JC, Wakefield T, Graham LM, Whitehouse W (1986) Clinical importance and management of splanchnic artery aneurysms. J Vasc Surg 3:836-840

    Article  CAS  PubMed  Google Scholar 

  2. Viglione G, Abi Younes G, Coste P, Sabatier M, Dor V (1993) Mycotic aneurysm of the celiac trunk: Radical resection and reconstruction without prosthetic material. J Cardiovasc Surg 34:73-75

    CAS  Google Scholar 

  3. Stone WM, Abbas MA, Gloviczki P, Fowl RJ, Cherry KJ (2002) Celiac arterial aneurysms: A critical reappraisal of a rare entity. Arch Surg 137:670-674

    Article  PubMed  Google Scholar 

  4. Carr SC, Mahvi DM, Hoch JR, Archer CW, Turnipseed WD (2001) Visceral artery aneurysm rupture. J Vasc Surg 33:806-811

    Article  CAS  PubMed  Google Scholar 

  5. Werner K, Tarasoutchi F, Lunardi W, Marino JC, Grinberg M, Jatene AD (1991) Mycotic aneurysm of the celiac trunk and superior mesenteric artery in a case of infective endocarditis. J Cardiovasc Surg 32:380-383

    CAS  Google Scholar 

  6. Sueyoshi E, Sakamoto I, Hayashi K (2000) Aortic aneurysms in patients with Takayasu's arteritis: CT evaluation. AJR Am J Roentgenol 175:1727-1733

    Article  CAS  PubMed  Google Scholar 

  7. Kinney EV, Kaebnick HW, Mitchell RA, Jung MT (2000) Repair of mycotic paravisceral aneurysm with a fenestrated stent-graft. J Endovasc Ther 7:192-197

    Article  CAS  PubMed  Google Scholar 

  8. Hashemi H, Comerota AJ, Dempsey DT (1995) Foregut revascularisation via retrograde splenic artery perfusion after resection of a juxtaceliac mycotic aneurysm. J Vasc Surg 21:530-536

    Article  CAS  PubMed  Google Scholar 

  9. Carrel D, Cohle SD, Chapman AJ (1992) Fatal hemothorax from mycotic celiac artery aneurysm. Am J Forensic Med Pathol 13:233-237

    Article  CAS  PubMed  Google Scholar 

  10. Terrinoni V, Rengo M, Bianchi G, Lamazza A, Cosimati A, Bellini N (1995) Aneurysm of the celiac trunk: review of the literature and report of a clinical case. G Chir 16:191-194

    CAS  PubMed  Google Scholar 

  11. Jacob T, Asher E, Hingorani A, Gunduz Y, Kallakuri S (2001) Initial steps in the unifying theory of the pathogenesis of artery aneurysm. J Surg Res 101:37-43

    Article  CAS  PubMed  Google Scholar 

  12. Moriwaki Y, Matsuda G, Karube N, Uchida K, Yamamoto T, Sugiyama M (2002) Usefulness of color Doppler ultrasonography (CDUS) and three-dimensional spiral computed tomographic angiography (3D-CT) for diagnosis of unruptured abdominal visceral aneurysm. Hepatogastroenterology 49:1728-1730

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Medical Centre Rijnmond-Zuid, Olympiaweg 350, 3078 HT, Rotterdam, The Netherlands

    Gianpiero Serafino, Dammis Vroegindeweij & Simone Boks

  2. Department of Vascular Surgery, Medical Centre Rijnmond-Zuid, Olympiaweg 350, 3078 HT, Rotterdam, The Netherlands

    Erwin van der Harst

Authors
  1. Gianpiero Serafino
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dammis Vroegindeweij
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Simone Boks
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Erwin van der Harst
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Gianpiero Serafino.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Serafino, G., Vroegindeweij, D., Boks, S. et al. Mycotic Aneurysm of the Celiac Trunk: From Early CT Sign to Rupture. Cardiovasc Intervent Radiol 28, 677–680 (2005). https://doi.org/10.1007/s00270-004-0011-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-004-0011-y

Search

Navigation