The endovascular treatment of a ruptured aneurysm of the middle colic artery combined with an isolated dissection of superior mesenteric artery: report of a case.

Abstract:

BACKGROUND:Ruptured aneurysm of the middle colic artery is very rare. Its concomitance with isolated dissection of the superior mesenteric artery (SMAD) has not yet been reported in the literature. CASE REPORT:A previously well 56-year-old man was referred to our hospital with acute-onset pain throughout the entire abdomen. A ruptured aneurysm of the middle colic artery and isolated SMAD were revealed using a computed tomography (CT) scan. Coil embolization was successfully performed for a ruptured aneurysm of the middle colic artery. During the immediate postprocedural period, the patient had ischemic colitis, but he recovered in a few days with conservative treatment. Close observation was elected to address the SMAD because the condition was not thought to be responsible for any symptoms. The CT scan followed after 2 years showed no change in SMAD. CONCLUSIONS:We successfully performed endovascular treatment for a ruptured aneurysm of the middle colic artery. For the incidentally detected SMAD, close observational management was chosen.

journal_name

Vasc Endovascular Surg

authors

Ham EM,Cho BS,Ye JB,Mun YS,Choi YJ,Kwon OS

doi

10.1177/1538574413518615

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

352-5

issue

4

eissn

1538-5744

issn

1938-9116

pii

1538574413518615

journal_volume

48

pub_type

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