Tuberculous aortitis with jejunal artery mycotic pseudoaneurysm managed by endovascular coil embolisation.

Autor: Tripathy T; Radiodiagnosis, All India Institute of Medical Sciences - Bhubaneswar, Bhubaneswar, Odisha, India taraprasad.mkcg@gmail.com., Patel RK; Radiodiagnosis, All India Institute of Medical Sciences - Bhubaneswar, Bhubaneswar, Odisha, India., Fatima K; Radiodiagnosis, All India Institute of Medical Sciences - Bhubaneswar, Bhubaneswar, Odisha, India., Dutta T; Surgical Gastroenterology, All India Institute of Medical Sciences - Bhubaneswar, Bhubaneswar, India.
Jazyk: angličtina
Zdroj: BMJ case reports [BMJ Case Rep] 2024 Aug 03; Vol. 17 (8). Date of Electronic Publication: 2024 Aug 03.
DOI: 10.1136/bcr-2024-260463
Abstrakt: Mycotic aneurysm in a visceral artery due to tuberculosis (TB) is a rare occurrence. Imaging plays a critical role in its diagnosis. Over the last few years, minimally invasive interventional radiological treatment has replaced more invasive surgical procedures. Here, we report a case presenting with abdominal pain, diagnosed with jejunal artery mycotic pseudoaneurysm (PSA) secondary to TB, managed by endovascular coiling. Coil embolisation of the superior mesenteric artery branch was done using three coils, closing both the front door, back door and sac of the mycotic aneurysm. Visceral PSA following TB infection is rare and can be fatal if left untreated. Coil embolisation is a minimally invasive procedure with a high success rate and comparatively fewer complications.
Competing Interests: Competing interests: None declared.
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Databáze: MEDLINE