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October 1977

Pancreaticoduodenal Artery Aneurysm Simulating Carcinoma of the Head of the Pancreas

Author Affiliations

From the Surgical Services (Drs Scheflan and Hedberg) and the Department of Radiology (Drs Kadir and Athanasoulis), Massachusetts General Hospital and Harvard Medical School, Boston.

Arch Surg. 1977;112(10):1201-1203. doi:10.1001/archsurg.1977.01370100055010

• 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 inferior 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.

(Arch Surg 112:1201-1203, 1977)