Acute retroperitoneal bleeding due to inferior mesenteric artery aneurysm: case report

Autor: JA Ferrón, Inmaculada Segura-Jiménez, N Maldonado-Fernández, P Pérez-Vallecillos, V García-Róspide, Pablo Palma, Raquel Conde-Muíño
Přispěvatelé: [Pérez-Vallecillos,P, Maldonado-Fernández, García-Róspide] Department of Vascular Surgery, HUVN,Granada, Spain. [Conde-Muíño,R, Segura-Jiménez,I, Ferrón,JA, Palma,P] Division of Colorectal Surgery, Department of General Surgery, HUVN,Granada,Spain.
Rok vydání: 2009
Předmět:
Male
medicine.medical_specialty
Abdominal pain
Anciano
Analytical
Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Imaging::Tomography::Tomography
X-Ray::Tomography
X-Ray Computed [Medical Subject Headings]
Check Tags::Male [Medical Subject Headings]
Hemorrhage
Case Report
Anastomosis
Tomografía Computarizada por Rayos X
Aneurysm
Ruptured
Inferior mesenteric artery
Diseases::Pathological Conditions
Signs and Symptoms::Pathologic Processes::Hemorrhage [Medical Subject Headings]
Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings]
Aneurysm
Celiac artery
medicine.artery
Hemorragia
medicine
Retroperitoneal space
Humans
Superior mesenteric artery
cardiovascular diseases
Retroperitoneal Space
Retroperitoneal hemorrhage
Named Groups::Persons::Age Groups::Adult::Aged [Medical Subject Headings]
lcsh:RC799-869
Masculino
Espacio Retroperitoneal
Aged
Aneurisma Roto
business.industry
Gastroenterology
Mesenteric Artery
Inferior
General Medicine
medicine.disease
Surgery
Humanos
Arteria Mesentérica Inferior
medicine.anatomical_structure
Anatomy::Body Regions::Torso::Abdomen::Abdominal Cavity::Retroperitoneal Space [Medical Subject Headings]
cardiovascular system
lcsh:Diseases of the digestive system. Gastroenterology
Radiology
Anatomy::Cardiovascular System::Blood Vessels::Arteries::Mesenteric Arteries::Mesenteric Artery
Inferior [Medical Subject Headings]
medicine.symptom
business
Diseases::Cardiovascular Diseases::Vascular Diseases::Aneurysm::Aneurysm
Ruptured [Medical Subject Headings]
Tomography
X-Ray Computed
Zdroj: BMC Gastroenterology
BMC Gastroenterology, Vol 10, Iss 1, p 59 (2010)
ISSN: 1471-230X
Popis: Background Visceral artery aneurysms (VAA), although uncommon, are increasingly being detected. We describe a case of spontaneous retroperitoneal hemorrhage from a ruptured IMA aneurysm associated with stenosis of the superior mesenteric artery (SMA) and celiac trunk, successfully treated with surgery. Methods A 65-year-old man presented with abdominal pain and hypovolemic shock. Abdominal CT scan showed an aneurysm of the inferior mesenteric artery with retroperitoneal hematoma. In addition, an obstructive disease of the superior mesenteric artery and celiac axis was observed. Results Upon emergency laparotomy a ruptured inferior mesenteric artery aneurysm was detected. The aneurysm was excised and the artery reconstructed by end-to-end anastomosis. Conclusions This report discusses the etiology, presentation, diagnosis and case management of inferior mesenteric artery aneurysms.
Databáze: OpenAIRE
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