Table 1 previous case reports of obstructive jaundice as a rare complication of pancreaticoduodenal artery aneurysm
No | Author | Year | Sex | Age | Presentation | CAS | Rupture | Mass | Diagnosis methods | Treatment | F/U |
|---|---|---|---|---|---|---|---|---|---|---|---|
1 | Sampsel et al. [15] | 1952 | M | 68 | Painless jaundice, pruritus, acholic stools, and dark-colored urine | NA | Yes | 2.5 cm aneurysm of "anomaIous" artery ruptured into pancreas | Abdominal X-ray Laparatomy | Hepaticodochoenterostomy | D |
2 | Hasselgren et al. [16] | 1976 | F | 62 | Pain under the right costal margin, and jaundice | NA | No | Large aneurysm | Abdominal X-ray | Aneurysmectomy Exploratory choledochotomy | S |
3 | Scheflan et al. [17] | 1977 | M | 56 | Painless jaundice, pruritus, and malaise | Yes | Yes | Large hematoma and 2 cm aneurysm origin from the inferior PDA | Abdominal aortography Selective arteriography Upper GI series Ultrasonography | Aneurysmectomy Exploratory choledochotomy T-tube drainage | S |
4 | Kadir et al. [18] | 1978 | M | 72 | Gastrointestinal bleeding, jaundice, RUQ tenderness, and abdominal distention with ascites | Yes | No | 2.5 × 3.5 cm aneurysm origin from inferior PDA | Selective arteriography | Untreated | D |
5 | Bécheur et al. [19] | 1996 | M | 54 | Jaundice, abdominal pain, and dilatation of the common bile duct | NA | NA | Peripancreatic pseudoaneurysm of the posterior and inferior PDA | Doppler ultrasonography Abdominopelvic CT scan | TAE | S |
6 | Widjaja et al. [20] | 1999 | M | 51 | Epigastric pain, jaundice, severe diarrhoea, and weight loss | NA | Yes | 8.1 × 7.5 × 7.0 cm in left liver lobe as pseudoaneurysm of the PDA | Ultrasonography (B-mode and colour coded Duplex) Intraarterial digital subtraction angiography | PTBD TAE | S |
7 | Colak et al. [21] | 2009 | M | 57 | Persistent epigastric pain, weight loss, and jaundice | No | Yes | 8.7 × 6.8 cm pseudoaneurysm origin from inferior PDA | Contrast-enhanced CT scan Non-selective abdominal angiography | Untreated | D |
8 | Wattez et al. [22] | 2013 | F | 64 | Intense acute abdominal pain, dilated intra- and extrahepatic biliary tracts (14 mm) | Yes | No | isolated 2-cm true aneurysm origin from PDA | Ultrasonography Contrast-enhanced CT scan | Laparotomy TAE (injection of polymeric synthetic into the aneurysm) | S |
9 | Yin et al. [11] | 2014 | M | 84 | RUQ pain, jaundice | Yes | Yes | Retroperitoneal hematoma and 2 cm aneurysm origin from PDA | Ultrasonography Abdominopelvic CT scan CT angiography Conventional angiography | TAE (with no need to drain the liver) | D |
10 | Otaegui et al. [23] | 2016 | M | 48 | Jaundice, epigastric pain, acholic stools, and dark-colored urine, dilated intra- and extrahepatic tracts | Yes | No | 3.5 cm pseudoaneurysm origin from inferior PDA, which was anastomosed with the posterior PDA | Ultrasonography Abdominopelvic CT scan | TAE | S |
11 | Current study | 2022 | F | 77 | Jaundice, abdominal pain, and abdominal distention | Yes | No | 14 × 10 × 9 cm true aneurysm, 2.5 × 2.5 cm true aneurysm, and 1.5 × 1.2 cm true aneurysm origin from posterior side of PDA | Ultrasonography Doppler ultrasound Abdominopelvic CT scan CT angiography Conventional angiography | Laparotomy | D |