A Unique Case of Severe Hematochezia: Ruptured Pseudoaneurysm of the Superior Rectal Artery.
| Autor: | Marusca G; Department of Internal Medicine, Wayne State University School of Medicine, Detroit, MI., Yeddi A; Department of Internal Medicine, Wayne State University, Detroit, MI., Kiwan W; Division of Gastroenterology, Wayne State University, Detroit, MI., Al Masalmeh N; Department of Internal Medicine, Wayne State University, Detroit, MI., Newberger S; Department of Radiology, Wayne State University, DI, MI., Kakos R; Department of Radiology, Wayne State University, DI, MI., Ehrinpreis M; Division of Gastroenterology, Wayne State University, Detroit, MI. |
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| Jazyk: | angličtina |
| Zdroj: | ACG case reports journal [ACG Case Rep J] 2020 Nov 09; Vol. 7 (11), pp. e00468. Date of Electronic Publication: 2020 Nov 09 (Print Publication: 2020). |
| DOI: | 10.14309/crj.0000000000000468 |
| Abstrakt: | Visceral artery aneurysms are rare, with an incidence of 0.01%-2% based on autopsy results. Among the visceral arteries, inferior mesenteric artery aneurysms are the rarest. To our knowledge, we report the first case of acute lower gastrointestinal bleeding in a 45-year-old man, arising from a nontraumatic pseudoaneurysm of the superior rectal artery, a branch of the inferior mesenteric artery. Urgent angiography provided the diagnosis and allowed successful hemostatic intervention via endovascular coil embolization. A subsequent routine colonoscopy revealed an ulcer with central yellow-bluish bulge in the distal rectum correlating with the site of the treated pseudoaneurysm. (© 2020 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.) |
| Databáze: | MEDLINE |
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