An Operative Case of Celiac Artery Aneurysm with Gastric Cancer

Yutaka Kimura, Hiromitsu Hoshino¹⁾, Hiroshi Yano, Takashi Iwazawa, Katsuki Danno, Toshiyuki Kanoh, Tadashi Ohnishi, Takashi Nakamura²⁾, Takushi Monden and Shingi Imaoka

Department of Surgery, NTT West Osaka Hospital
Department of Gastroenterological Surgery, Osaka University¹⁾
Department of Surgery, Tanakakitanoda Hospital²⁾

A 63-year-old man found in gastrointestinal endoscopy screening to have type 0 IIc early gastric cancer of the lower third of the stomach was also found to have a celiac artery aneurysm in abdominal CT staging. Abdominal angiography showed that the common hepatic artery, splenic artery, and left gastric artery branched from a celiac artery aneurysm 2 cm in diameter. We simultaneously conducted distal gastrectomy with Roux-Y reconstruction and aneurysmectomy with arterioarterial anastomosis of the common hepatic and splenic arteries. The celiac artery aneurysm was saccular with internal elastic lamina disruption, pathologically diagnosed as well-differentiated tubular adenocarcinoma, Type 0 IIc, T1 (M), N0, H0, P0, M0, Stage IA. Celiac artery aneurysms are quite rare and this is, to our knowledge, the first case of a celiac artery aneurysm simultaneously treated with aneurysmectomy and distal gastrectomy for gastric cancer in Japan.

Key words
celiac artery aneurysm, gastric cancer, distal gastrectomy

Reprint requests
Yutaka Kimura Department of Surgery, NTT West Osaka Hospital
2-6-40 Karasugatuji, Tennojiku, Osaka, 543-8922 JAPAN

Accepted
January 28, 2009

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