Celiac trunk aneurysms, represent about 4%, of all splanchnie aneurysms. They are rare lesions but clinically important because when ruptured are associated with high mortality. We report our experience in the treatment of 3 patients affected by aneurysms involving the celiac trunk, 2 females and1 male, with a median age of 55.3 years (37 - 74). Two were treated surgically and one percutaneously. Based on the Literature data and on personal experience, we suggest that the first diagnostic approach can be echography, while CT scan and angiography improve definition of the lesion and (if they are) of the anatomic anomalies. Concerning treatment, the first choice should be traditional surgery and percutaneous treatment should be reserved to high risk patients.
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