Superior Mesenteric Artery Dissected Aneurysm: Case Report with Anatomical Considerations.

Autor: Ferreira Magela, Natália Marques, de Castro Mouro, Marília, Balbino, Guilherme Silva, Santos, Sara Tangerina dos, Ventura, Caroline, Abreu, Bento João, Fazan, Valéria Paula Sassoli, de Carvalho, Camila Albuquerque Melo
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Zdroj: Journal of Morphological Sciences; 2022, Vol. 39, p408-411, 4p
Abstrakt: Introduction: an aneurysm is defined as a weakening of the wall of a blood vessel, characterized by an abnormal dilation that, under greater pressure, can evolve into a rupture, causing emergency hemorrhages. They are classified as fusiform when both endothelial walls appear dilated or saccular, when the bulge appears on only one side of the vessel. Superior mesenteric artery aneurysm is rare and represents less than 0.5% of cases of intra-abdominal aneurysms. Among its many causes, are two main ones: atherosclerosis and infection. Case Report: this paper reports the case of a 54-year-old symptomatic woman with a finding of superior mesenteric artery aneurysm with associated dissection. The patient complained of nausea and presented at the physical examination with a rigid and painful abdomen. A computed tomography detected a fusiform aneurysmal dilatation of the proximal segment of the SMA, measuring 1.2 x 1.0 cm in maximum caliber and 2 cm in length, with a line of on-site dissection. Conclusions: such a finding is extremely rare, accounting for less than 0.5% of all intra-abdominal aneurysms recorded worldwide. A minimally invasive approach has been suggested and successfully performed. Although rare, superior mesenteric artery aneurysms are a serious condition, taking into account their likely consequences if they are not identified, and properly treated. Therefore, early diagnosis is essential for skillful treatment and better patient outcomes. Treatment includes an endovascular approach, surgeries, and periodic follow-up. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index