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

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Date

2010-06-09

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Pérez-Vallecillos, P
Conde-Muíño, R
Segura-Jiménez, I
Maldonado-Fernández, N
Ferrón, JA
García-Róspide, V
Palma, P

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BioMed Central
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Abstract

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

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Medical Subject Headings::Named Groups::Persons::Age Groups::Adult::Aged
Medical Subject Headings::Diseases::Cardiovascular Diseases::Vascular Diseases::Aneurysm::Aneurysm, Ruptured
Medical Subject Headings::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::Check Tags::Male
Medical Subject Headings::Anatomy::Cardiovascular System::Blood Vessels::Arteries::Mesenteric Arteries::Mesenteric Artery, Inferior
Medical Subject Headings::Anatomy::Body Regions::Torso::Abdomen::Abdominal Cavity::Retroperitoneal Space
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Imaging::Tomography::Tomography, X-Ray::Tomography, X-Ray Computed

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Keywords

Anciano, Aneurisma Roto, Hemorragia, Humanos, Masculino, Arteria Mesentérica Inferior, Espacio Retroperitoneal, Tomografía Computarizada por Rayos X

Citation

Pérez-Vallecillos P,Conde-Muíño R, Segura-Jiménez I, Maldonado-Fernández N, Ferrón JA, García-Róspide V, et al. Acute retroperitoneal bleeding due to inferior mesenteric artery aneurysm: case report. BMC Gastroenterol. 2010 Jun 9;10:59