PMC5048667_01
ceCT illustrating the 19 mm IPDA aneurysm.
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A 75 year old female, who was under investigation for night sweats, was referred to our team with an incidental finding of a 19 mm fusiform IPDA aneurysm, detected on triple phase contrast enhanced computerised tomography (ceCT) of the abdomen and pelvis (Fig. 1).
IPDA aneurysm present at the junction of its division.
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During the procedure the aneurysm was identified arising from the IPDA at the level of a division of the vessel into two branches, one of which anastomosed with the gastroduodenal artery (GDA) (Fig. 2).
Microcatheter coil embolization of the IPDA aneurysm.
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As there was no suitable aneurysm neck to undergo liquid embolization, this was performed with multiple interlocking coils (Fig. 3).
ceCT imaging 2 months post operatively indicating patent graft.
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The patient was well during clinic follow-up 2 months post-operatively with a patent graft on ceCT imaging (Fig. 4) and normal liver function tests.