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

BMC Gastroenterology

Case Report

P Pérez-Vallecillos¹  N Maldonado-Fernández¹  V García-Róspide¹  JA Ferrón²  R Conde-Muíño²  I Segura-Jiménez²  P Palma² 

[1] Department of Vascular Surgery, HUVN, Av. Fuerzas Armadas s/n. Granada, 18014, Granada, Spain;Division of Colorectal Surgery, Department of General Surgery, HUVN, Av. Fuerzas Armadas s/n., 18014, Granada, Spain;

关键词: Superior Mesenteric Artery;    Inferior Mesenteric Artery;    Celiac Trunk;    Celiac Artery;    Hypovolemic Shock;   

DOI  :  10.1186/1471-230X-10-59

 received in 2009-06-27, accepted in 2010-06-09,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundVisceral 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.MethodsA 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.ResultsUpon emergency laparotomy a ruptured inferior mesenteric artery aneurysm was detected. The aneurysm was excised and the artery reconstructed by end-to-end anastomosis.ConclusionsThis report discusses the etiology, presentation, diagnosis and case management of inferior mesenteric artery aneurysms.

【 授权许可】

Unknown   
© Pérez-Vallecillos et al; licensee BioMed Central Ltd. 2010. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.