General Surgery, Top Picks, Vascular Surgery

Pancreatico-duodenal aneurysm

A 50 year old patient presented with severe abdominal pain. Ct scan showed a coincidential finding of a pancreatico-duodenal aneurysm, secondary to a coeliac trunc stenosis. 

3D render of the vascular tree

We performed a segmentation and 3D printing, delivering a model which enabled better planning of the surgical approach. 

3D printed vascular tree

3D printed patient-specific anatomy

After multidisciplinary discussion between vascular surgeons, general surgeon and radiologist, a combined approach of laparascopic abdominal arcuate ligament release, followed by a coeliac trunk stenting was performed.

Arcuate ligament release

Intra-operative images, showing the status befor and after release of the coeliac trunk,, found through following the left gastric artery.

In the same surgery, the patient’s coeliac trunk was stented and the aneurysm was obliterrated through coil placement.

Percutaneous procedure

before release – after release – after stenting + coiling

Final result

Swift recovery with nice postoperative open coeliac trunk and obliterated aneurysm:


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