Aneurysms of arteries forming the minor arc of Riolan with occlusion of the celiac trunk

Frolov D.V., Kargin I.A.

Department for General Surgery and Urology, Volgograd State Medical University of the RF Ministry of Public Health, Volgograd, Russia

Analysed in the article is a clinical case report regarding a female patient suffering from chronic abdominal pain and undergoing treatment for a disease with the respective clinical pattern. The initially determined cause of pain turned out either erroneous or was not the only correct one. During examination based on the physical findings she was suspected as having chronic abdominal ischaemia syndrome. Imaging techniques made it possible to verify and confirm the presence of severe concomitant pathology of the visceral branches of the abdominal aorta: multiple aneurysms of visceral arteries and occlusion of the celiac trunk. We present the protocol of the operative intervention, also demonstrating the outcomes of surgical treatment, postoperative follow up, and control examination. This is followed by description of the remaining aneurysms and the results of repeat treatment.

KEY WORDS: visceral artery aneurysms, abdominal ischaemia, minor arc of Riolan, celiac trunk compression stenosis.

P. 181

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