Intra-abdominal Hemorrhage Caused by Segmental Arterial Mediolysis of the Inferior Mesenteric Artery: Report of a Case Dis Colon Rectum Vol. 47, No. 5, May 2004.

Autor: Rengstorff, Daniel S., Baker, Edward L., Wack, Jon, Yee, Laurence F.
Zdroj: Diseases of the Colon & Rectum; May2004, Vol. 47 Issue 5, p769-772, 4p
Abstrakt: PURPOSE. This article reports a patient with acute intra-abdominal hemorrhage secondary to a rare vascular disease, segmental arterial mediolysis METHODS. The patient was a 56-year-old female who presented with severe acute abdominal pain. An abdominal and pelvic computed tomogram demonstrated suggestion of an intra-abdominal hemorrhage. Visceral angiography illustrated aneurysms in the branches of the inferior mesenteric artery. The patient underwent a left hemicolectomy with resection of the diseased artery. RESULTS. The angiographic and histologic findings were consistent with a diagnosis of segmental arterial mediolysis involving only the inferior mesenteric artery. CONCLUSIONS. This is the first known reported case of intra-abdominal hemorrhage related to segmental arterial mediolysis requiring emergent hemicolectomy. [ABSTRACT FROM AUTHOR]
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