A rare case of fusiform celiac artery aneurysm after penetrating trauma
| Autor: | Abdullah Shariff, Ruby Skinner, Andrea Pakula |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Visceral artery aneurysm Fusiform Aneurysm Dissection (medical) 030204 cardiovascular system & hematology Asymptomatic Article 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Celiac artery medicine.artery medicine cardiovascular diseases Celiac artery aneurysm business.industry Posttraumatic aneurysm Trauma center medicine.disease Surgery Etiology cardiovascular system Presentation (obstetrics) medicine.symptom business Penetrating trauma |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Celiac artery aneurysm make up a small number of visceral artery aneurysms. • Penetrating trauma is a common cause of visceral artery aneurysms. • Endovascular management is becoming commonplace for these lesions. Introduction Visceral artery aneurysms are an uncommon clinical problem with aneurysms of the celiac artery only making up a small percentage of all visceral artery aneurysms. The more common splenic and hepatic aneurysms are often symptomatic with pain or rupture and associated hemorrhage. Presentation of case We present a case of an otherwise healthy 30 yo male with an asymptomatic, posttraumatic arterial aneurysm of the celiac artery. He initially presented to our trauma center after sustaining multiple gunshot wounds which required multiple abdominal surgeries. He represented four weeks later with 3 days of flank pain and fever. Extensive workup yielded an incidental finding of 14 mm fusiform aneurysm of the celiac artery with associated dissection. This was not present on imaging during his initial hospitalization. The patient underwent successful endovascular management. Discussion Visceral artery aneurysms are rare and when identified often require early intervention. Posttraumatic etiologies are often due to penetrating trauma as in the case presented. Modern high resolution imaging can identify those that are not yet symptomatic. Conclusion Posttraumatic visceral artery aneurysms are rare with an incidence of 0.01–0.2%, however they have a potential for high mortality if undiagnosed or untreated. An aggressive operative approach can lead to favorable outcomes. |
| Databáze: | OpenAIRE |
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