Surgical Excision of a Contained Rupture of an Inferior Mesenteric Aneurysm

Inferior mesenteric artery (IMA) aneurysms represent the minority of visceral aneurysm presentations. A 57-year-old female was admitted with a symptomatic IMA aneurysm secondary to atherosclerotic disease. She was treated with open excision which revealed a contained ruptured of a true aneurysm. This case highlights the challenges of an accurate preoperative diagnosis of IMA aneurysm and the correct position of the recent guidelines on visceral aneurysms issued by the Society of Vascular Surgery (SVS).

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Aneurysm of the inferior vena cava: accurate preoperative diagnosis and surgical excision

ANZ Journal of Surgery ◽

10.1111/j.1445-2197.2010.05381.x ◽

2010 ◽

Vol 80 (7-8) ◽

pp. 552-553 ◽

Cited By ~ 4

Author(s):

Aparna Deshpande ◽

Siddhartha Sahoo ◽

Pankajkumar Chaudhari ◽

Raut Abhijit

Keyword(s):

Inferior Vena Cava ◽

Preoperative Diagnosis ◽

Inferior Vena ◽

Vena Cava ◽

Surgical Excision ◽

Accurate Preoperative Diagnosis

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Bilateral Cervical Pilomatricoma: A Diagnostic Dilemma for the Pediatric Otolaryngologist

Ear Nose & Throat Journal ◽

10.1177/0145561320958978 ◽

2020 ◽

pp. 014556132095897

Author(s):

Nicholas A. Rossi ◽

Rachelle Gietzen ◽

Cecilia G. Clement ◽

Jason F. Ohlstein ◽

Harold S. Pine ◽

...

Keyword(s):

Pediatric Patient ◽

Surgical Management ◽

Preoperative Diagnosis ◽

Surgical Excision ◽

Skin Tumors ◽

Diagnostic Challenge ◽

Diagnostic Dilemma ◽

Accurate Preoperative Diagnosis

Pilomatricomas are benign skin tumors often encountered by otolaryngologists but frequently misdiagnosed. Although they can occur at any age, they commonly present in children as a discolored superficial lesion adhered to the overlying skin. Accurate preoperative diagnosis is crucial for appropriate management, which is surgical in most cases. Here, we present bilateral pilomatricomas mimicking features of several other diagnoses in a pediatric patient. The patient was successfully treated with surgical excision. This case presented a unique diagnostic challenge, as the lesions exhibited features of several common diagnoses. In general, surgical management of pilomatricoma is curative, and recurrence is rare.

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Clinical and ultrasound characteristics of pediatric lateral neck masses

PLoS ONE ◽

10.1371/journal.pone.0251563 ◽

2021 ◽

Vol 16 (5) ◽

pp. e0251563

Author(s):

Nemanja Rankovic ◽

Jovana Todorovic ◽

Radoje Simic

Keyword(s):

Preoperative Diagnosis ◽

Surgical Excision ◽

Cross Sectional Study ◽

Lateral Neck ◽

Diagnostic Challenge ◽

Cross Sectional ◽

Neck Masses ◽

Accurate Preoperative Diagnosis ◽

Granulomatous Lymphadenitis ◽

Us Findings

Lateral neck masses (LNM) often present a diagnostic challenge in the practice of pediatric plastic surgeon. The aim of this study is to investigate the clinical and ultrasound (US) characteristics of pediatric LNM in order to make mutual comparison between their entities and enable the most accurate preoperative diagnosis. A cross-sectional study was conducted among 250 pediatric patients treated by surgical excision or sclerotherapy in our institution in the period from July 2009 to June 2019. Lymphatic malformation was the most frequent congenital LNM (60.9%), while reactive or granulomatous lymphadenitis was the most frequent acquired LNM (47%). Congenital anomalies were significantly more often localized in the upper half of the sternocleidomastoid (SCM) muscle region, and had more often soft consistency than acquired ones. Congenital LNM had a 32.37 (3.44–304.63) times higher likelihood of incorrect (p = 0.002) and 5.86 (1.35–25.48) times higher likelihood of undetermined (p = 0.018) than correct US findings, respectively. Acquired LNM were significantly more often localized in the region behind the SCM muscle and more often had solid US appearance in comparison to the congenital ones. Association of the clinical and US findings is very important in determining the most accurate preoperative diagnosis without exposing the children to unnecessary utilizing ionizing radiation or anesthesia. Although they are mostly benign, extreme caution is necessary due to malignancies which were found in 16.4% of all our patients.

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Image-guided translumbar type II endoleak repair: A novel approach

American Journal of Interventional Radiology ◽

10.25259/ajir_6_2019 ◽

2020 ◽

Vol 4 ◽

pp. 9

Author(s):

Salman Mirza ◽

Shahnawaz Ansari

Keyword(s):

Mesenteric Artery ◽

Inferior Mesenteric Artery ◽

Endovascular Aneurysm Repair ◽

Type Ii ◽

Type Ii Endoleak ◽

Image Guided ◽

Novel Approach ◽

Abdominal Aortic ◽

Aneurysm Repair

We present a case of a 72-year-old male with an abdominal aortic aneurysm status post-endovascular aneurysm repair (EVAR). Follow-up imaging demonstrated an enlarging type II endoleak and attempts at transarterial coil embolization of the inferior mesenteric artery were unsuccessful. The patient underwent image-guided percutaneous translumbar type II endoleak repair using XperGuide (Philips, Andover, MA USA).

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Defecatory Dysfunction After Colon Cancer Resection: The Role of Inferior Mesenteric Artery Tie

Anticancer Research ◽

10.21873/anticanres.14276 ◽

2020 ◽

Vol 40 (5) ◽

pp. 2969-2974

Author(s):

ENRICO FIORI ◽

DANIELE CROCETTI ◽

ANTONIETTA LAMAZZA ◽

FRANCESCA DE FELICE ◽

GIORGIA BURRELLI SCOTTI ◽

...

Keyword(s):

Colon Cancer ◽

Mesenteric Artery ◽

Inferior Mesenteric Artery ◽

Cancer Resection ◽

Defecatory Dysfunction ◽

Colon Cancer Resection

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Abstract No. 176: Pre-operative inferior mesenteric artery embolization prior to endovascular repair of infra-renal abdominal aortic aneurysms: single center ten year experience

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2011.12.222 ◽

2012 ◽

Vol 23 (3) ◽

pp. S73

Author(s):

R. Lookstein ◽

T.J. Ward ◽

S. Cohen ◽

E. Kim ◽

S. Nowakowski ◽

...

Keyword(s):

Endovascular Repair ◽

Mesenteric Artery ◽

Inferior Mesenteric Artery ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Single Center ◽

Artery Embolization ◽

Abdominal Aortic

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Embolization of the false lumen using IMPEDE-FX embolization plugs as part of treatment of an infrarenal post-dissection aneurysm: a case report

CVIR Endovascular ◽

10.1186/s42155-020-00183-6 ◽

2020 ◽

Vol 3 (1) ◽

Author(s):

Anne-Jet S. Jansen ◽

Paul M. van Schaik ◽

Jasper M. Martens ◽

Michel M. P. J. Reijnen

Keyword(s):

Case Report ◽

Mesenteric Artery ◽

Inferior Mesenteric Artery ◽

False Lumen ◽

True Lumen ◽

Case Presentation ◽

Type A Dissection ◽

Prospective Trials ◽

The Right ◽

Embolization Procedure

Abstract Background This case report demonstrates the value of IMPEDE-FX plugs in an embolization procedure of a false lumen of an infrarenal post-dissection aneurysm. Case presentation A 69-year-old patient was treated with mitral valve replacement, complicated by a Stanford type-A dissection. After 9 years he presented with an enlarging infrarenal post-dissection aneurysm. The false lumen was embolized using multiple IMPEDE-FX plugs as part of the treatment in addition to embolization of the inferior mesenteric artery and overstenting of the re-entry in the right iliac artery. At 15 months the CTA showed a fully thrombosed false lumen and remodeling of the true lumen. Conclusions The false lumen of an infrarenal post-dissection aneurysm can successfully be embolized using IMPEDE-FX embolization plugs as part of the treatment strategy. Prospective trials on patients with non-thrombosed false lumina are indicated.

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Pathological features of lymph nodes around inferior mesenteric artery in rectal cancer: a retrospective study

World Journal of Surgical Oncology ◽

10.1186/s12957-021-02264-9 ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Chunhui Jiang ◽

Ye Liu ◽

Chunjie Xu ◽

Yanying Shen ◽

Qing Xu ◽

...

Keyword(s):

Risk Factors ◽

Rectal Cancer ◽

Lymph Nodes ◽

Mesenteric Artery ◽

Inferior Mesenteric Artery ◽

Anal Verge ◽

T Stage ◽

Pathological Type ◽

Nerve Invasion ◽

Independent Risk Factors

Abstract Objective This study aimed to explore the pathological characteristics of lymph nodes around inferior mesenteric artery in rectal cancer and its risk factors and its impact on tumor staging. Methods 485 rectal cancer patients underwent proctectomy surgery were collected in this study. Clinical features of patients, including gender, age, BMI, tumor size, pathological type, differentiation, nerve invasion, lymph nodes, tumor marker, and pathological examinations, were analyzed. Results A total of 485 cases were included in this study. There were 29 cases with IMA-LN metastasis; the metastasis rate was 5.98% (29/485). Positive IMA-LNs were associated with distance from anal verge, CEA, pathological type, differentiation, nerve invasion, T stage, and N stage. Multivariate analysis showed that distance from anal verge, CEA level, differentiation, and T stage were independent risk factors for positive IMA-LNs. Conclusion Distance from anal verge, CEA level, differentiation, and T stage were independent risk factors for positive IMA-LNs. No skip metastasis occurred in IMA-LNs. We should choose the appropriate surgical methods to achieve better oncological results and reduce the incidence of postoperative complications.

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