scholarly journals Surgical resection of a ruptured transverse pancreatic artery aneurysm

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Toru Takematsu ◽  
Keisuke Kosumi ◽  
Takuya Tajiri ◽  
Kosuke Kanemitsu ◽  
Kosuke Mima ◽  
...  
Keyword(s):  
Back Pain ◽  
Left Kidney ◽  
Artery Aneurysm ◽  
Ventral Side ◽  
Visceral Artery ◽  
Spontaneous Pain ◽  
Pancreatic Artery ◽  
Visceral Artery Aneurysms ◽  
Acute Back Pain ◽  
Enhanced Computed Tomography

Abstract Background Visceral artery aneurysms are rare, but they may cause heavy bleeding and high mortality. In addition, aneurysms originating from the superior mesenteric artery (SMA) account for only 1% of visceral artery aneurysms. We report the rare case of a ruptured transverse pancreatic artery aneurysm originating from the SMA that required urgent surgical treatment. Case presentation A 66-year-old woman presented with acute back pain after lunch, and she was transported by ambulance. She had upper quadrant spontaneous pain and moderate tenderness, but no guarding or rebound pain. She had rheumatoid arthritis, and was taking 10 mg of steroids per day. Contrast-enhanced computed tomography demonstrated a retroperitoneal hematoma spreading to the ventral side of the left kidney and extravasation of contrast agent from a branch of the SMA. We diagnosed rupture of aneurysm. We conferred with our IVR team on treatment strategy for the ruptured aneurysm. In addition, we finally selected operation, since the branch of the SMA to the aneurysm was too thin and complex to conduct IVR. For this reason, we performed emergency simple aneurysmectomy of the transverse pancreatic artery. The postoperative course was relatively smooth. Conclusion Rupture of a transverse pancreatic artery aneurysm originating from the SMA is rare. However, when diagnosing patients with acute abdomen or back pain, we should consider rupture of a visceral artery aneurysm. Endovascular treatment may currently be common for ruptured visceral artery aneurysms, but we should flexibly treat them according to the patient’s condition and facility considerations.

scholarly journals An inferior mesenteric artery aneurysm in a patient with renal cell carcinoma

2020 ◽  
Vol 28 (4) ◽  
pp. 680-683
Author(s):  
Bülent Mert
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Left Kidney ◽  
Artery Aneurysm ◽  
Visceral Artery ◽  
Left Renal Artery ◽  
Visceral Artery Aneurysms

An inferior mesenteric artery aneurysm is considered one of the visceral artery aneurysms, which is extremely rare, although its incidence of detection has been increasing in recent years. A 59-year-old male patient with a renal cell carcinoma in the left kidney was diagnosed with an inferior mesenteric artery aneurysm and treated surgically. Computed tomography revealed atrophy of the right kidney and occlusion of the celiac trunk, superior mesenteric artery, and left renal artery. There were no complications during the hospital stay and no mortality or morbidity was observed at three months of follow-up. In conclusion, the treatment of inferior mesenteric artery aneurysms is usually recommended, due to possible complications such as rupture and thromboembolism with high mortality and morbidity rates.

scholarly journals The Aftermath of a Hepatic Artery Aneurysm—A Rare Etiology of Biliary Obstruction!

2017 ◽  
Vol 10 ◽  
pp. 117955221771143 ◽  
Author(s):  
Catherine Linzay ◽  
Abhishek Seth ◽  
Kunal Suryawala ◽  
Ankur Sheth ◽  
Moheb Boktor ◽  
...  
Keyword(s):  
Obstructive Jaundice ◽  
Hepatic Artery ◽  
Significant Risk ◽  
Artery Aneurysm ◽  
Biliary Tree ◽  
Visceral Artery ◽  
Biliary Stenting ◽  
Hepatic Artery Aneurysm ◽  
Skin Imaging ◽  
Visceral Artery Aneurysms

Background: Hepatic artery aneurysms (HAAs) constitute 14% to 20% of visceral artery aneurysms. Most HAAs are asymptomatic. Although rare, obstructive jaundice due to external bile duct compression or rupture of the HAA into the biliary tree with occlusion of the lumen from blood clots has been reported. Case presentation: A 56-year-old white man presented to an outside hospital with symptoms of obstructive jaundice, including abdominal pain and yellowing of the skin. Imaging showed a large HAA. Patient was transferred to our hospital where an endoscopic retrograde cholangiopancreatography with biliary stenting was performed. This was followed by coil embolization of the HAA with improvement in symptoms and liver chemistries. Conclusions: Most clinicians agree that management of HAA is highly variable and depends on clinical presentation and anatomic location. Biliary stenting provides temporary relief for patients with obstructive jaundice. Definitive options include open aneurysmal repair versus endovascular therapy. Hepatic artery aneurysms represent a significant risk for hemorrhage and therefore must be addressed promptly once discovered.

Visceral artery aneurysm: an unusual cause of abdominal pain

2020 ◽  
Vol 13 (12) ◽  
pp. e238019
Author(s):  
Maha Al Baghdadi ◽  
Parekha Yedla
Keyword(s):  
Abdominal Pain ◽  
Multiorgan Failure ◽  
Artery Aneurysm ◽  
Gastroduodenal Artery ◽  
Visceral Artery ◽  
Caucasian Woman ◽  
Visceral Artery Aneurysm ◽  
Visceral Artery Aneurysms

Visceral artery aneurysms (VAAs) are uncommon with an approximate incidence of 0.01%–0.2%. Gastroduodenal artery (GDA) aneurysm is a rare subtype of these uncommon visceral aneurysms that can be fatal if ruptured. We present a case of a 58-year-old Caucasian woman with a VAA and a large haematoma arising from an actively bleeding GDA. While patients with VAA may remain asymptomatic, with some of the aneurysms found incidentally during imaging, they may also present with abdominal pain, anaemia and possible multiorgan failure which may be fatal.

Endovascular Treatment of Visceral Artery Aneurysms

2002 ◽  
Vol 9 (1) ◽  
pp. 38-47 ◽  
Author(s):  
Andreas Gabelmann ◽  
Johannes Görich ◽  
Elmar M. Merkle
Keyword(s):  
Endovascular Treatment ◽  
Necrotizing Pancreatitis ◽  
Artery Aneurysm ◽  
Endovascular Embolization ◽  
Visceral Artery ◽  
Recurrent Bleeding ◽  
Visceral Artery Aneurysms ◽  
Long Term Follow Up ◽  
Transcatheter Coil Embolization

Purpose: To review a 10-year experience with endovascular embolization of visceral artery aneurysms. Methods: Twenty-five patients (13 men; mean age 52.1 years, range 31–80) presented with VAAs of varying locations and etiologies: 10 splenic, 3 gastroduodenal, 2 pancreaticoduodenal, 3 hepatic, 3 superior mesenteric, 2 celiac, 1 left gastric, and 1 jejunoileal. Ten patients were asymptomatic; 7 aneurysms were ruptured. Transcatheter coil embolization was the treatment of choice in all patients. Results: Coil placement was initially (<7 days) successful in 23 (92%) patients. One superior mesenteric artery aneurysm remained perfused, and recurrent bleeding occurred 2 days after intervention in 1 case, but repeated embolization excluded the aneurysm. One patient with necrotizing pancreatitis died from sepsis 10 days after endovascular treatment and surgery (4% 30-day mortality). Long-term follow-up revealed excellent results after an average 48.7 months (range 14–75) with only 1 recurrence after 12 months. Conclusions: Embolotherapy is the treatment of choice in visceral artery aneurysms, regardless of etiology, location, or clinical presentation.

Endoluminal Stent-Graft Repair of a Renal Artery Aneurysm

2002 ◽  
Vol 9 (3) ◽  
pp. 359-362 ◽  
Author(s):  
Michael Bruce ◽  
Yew-Ming Kuan
Keyword(s):  
Renal Artery ◽  
Stent Graft ◽  
Artery Aneurysm ◽  
Visceral Artery ◽  
Left Renal Artery ◽  
Renal Artery Aneurysm ◽  
Stent Grafts ◽  
Invasive Approach ◽  
Visceral Artery Aneurysms ◽  
Stent Graft Repair

Purpose: To present a renal artery aneurysm that was treated successfully by endoluminal grafting. Case Report: A 48-year-old woman presented with a 2.5-cm saccular left renal artery aneurysm. A Jostent coronary stent-graft was placed transluminally into the left renal artery via a femoral artery cutdown. After 12 months, renal function remained normal, and computed tomography revealed normal kidney perfusion with complete resolution of the renal artery aneurysm. Conclusions: The advances in endovascular stent-grafts will allow more visceral artery aneurysms to be treated with a minimally invasive approach.

scholarly journals Splenic artery aneurysm

2016 ◽  
Vol 43 (5) ◽  
pp. 398-400 ◽  
Author(s):  
RUI ANTÔNIO FERREIRA, TCBC-RJ ◽  
MYRIAM CHRISTINA LOPES FERREIRA ◽  
DANIEL ANTÔNIO LOPES FERREIRA ◽  
ANDRÉ GUSTAVO LOPES FERREIRA ◽  
FLÁVIA OLIVEIRA RAMOS
Keyword(s):  
Portal Hypertension ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
Female Gender ◽  
Splenic Artery Aneurysm ◽  
Visceral Artery ◽  
Childbearing Age ◽  
Artery Ligation ◽  
Visceral Artery Aneurysms ◽  
Multiparous Women

ABSTRACT Splenic artery aneurysms - the most common visceral artery aneurysms - are found most often in multiparous women and in patients with portal hypertension. Indications for treatment of splenic artery aneurysm or pseudoaneurysm include specific symptoms, female gender and childbearing age, presence of portal hypertension, planned liver transplantation, a pseudoaneurysm of any size, and an aneurysm with a diameter of more than 2.5cm. Historically, the treatment of splenic artery aneurysm has been surgical ligation of the splenic artery, ligation of the aneurysm, or aneurysmectomy with or without splenectomy, depending on the aneurysm location. There are other percutaneous interventional techniques. The authors present a case of a splenic artery aneurysm in a 51-year-old woman, detected incidentally.

Visceral Artery Aneurysms: A Symptomatic Aneurysm of the Ileocolic Artery

Vascular ◽  
2007 ◽  
Vol 15 (3) ◽  
pp. 162-166
Author(s):  
Graham Roche-Nagle ◽  
David O'Donnell ◽  
Timothy O'Hanrahan
Keyword(s):  
Mortality Rate ◽  
Incidental Findings ◽  
Artery Aneurysm ◽  
Vascular Pathology ◽  
Visceral Artery ◽  
Visceral Artery Aneurysm ◽  
Ileocolic Artery ◽  
Visceral Artery Aneurysms ◽  
Therapeutic Procedures ◽  
Important Form

Visceral artery aneurysm is a rare but clinically important form of vascular pathology, showing a high mortality rate in emergency surgery. Most often these aneurysms cause no symptoms and are therefore incidental findings. Reports on ileocolic artery aneurysms are rare and often anecdotal. Therapeutic procedures can be performed either surgically or by interventional therapeutic techniques. This article presents a case of ruptured ileocolic artery aneurysm and reviews the literature on this topic.

scholarly journals Splenic artery aneurysm, case series of seven patients

2021 ◽  
Vol 2021 (3) ◽  
Author(s):  
Javad Salimi ◽  
Zahra Omrani ◽  
Roozbeh Cheraghali
Keyword(s):  
Splenic Artery ◽  
Endovascular Procedures ◽  
Case Series ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Visceral Artery ◽  
Endovascular Techniques ◽  
Hybrid Surgery ◽  
First Choice ◽  
Visceral Artery Aneurysms

Abstract Splenic artery aneurysms (SAA) account for 46–60% of all visceral artery aneurysms. Small SAAs are usually asymptomatic, but giant aneurysms are more likely to cause symptoms and can result in life-threatening complications. Treatment of a splenic artery aneurysms includes laparotomy, laparoscopy or endovascular techniques. Case presentation: In this article, seven interesting cases of splenic artery aneurysms in different size and parts of artery and various interventions (open, endovascular and hybrid surgery) are discussed. Six of the patients were male. Five of them had giant SAAs (≥5 cm). Two patients underwent hybrid surgery. Coil embolization was carried out for one patient. All seven patients discharged with no procedure-related complications. Endovascular procedures considered as a first choice of treatment for splenic artery aneurysm. Open surgery is reserved mostly for the treatment of complications or if the endovascular techniques fail, lack of availability of endovascular procedures or allergy to contrast medium.

scholarly journals Giant splenic artery aneurysm treated surgically with spleen and pancreas preservation

2021 ◽  
Vol 41 (4) ◽  
pp. 253-256
Author(s):  
Igor Atanasijevic ◽  
Srdjan Babic ◽  
Slobodan Tanaskovic ◽  
Predrag Gajin ◽  
Nenad Ilijevski
Keyword(s):  
Splenic Artery ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Visceral Artery ◽  
Rare Clinical Entity ◽  
Hemodynamic Changes ◽  
Visceral Artery Aneurysms ◽  
Pancreas Preservation ◽  
Aneurysm Development ◽  
Changes In Pregnancy

Aneurysms of the splenic artery represent a rare clinical entity, even though they account for 60-70% of all visceral artery aneurysms. Splenic artery aneurysms larger than 5 cm are extremely rare, and they are considered to be giant. Possible causes of splenic artery aneurysm development include: trauma, hormonal and local hemodynamic changes in pregnancy, portal hypertension, arterial degeneration, infection and postsplenectomy occurrence. Surgical treatment of giant splenic artery aneurysms includes procedures that frequently require pancreatectomy and splenectomy. We present a case of a 10.2 cm giant splenic artery aneurysm, firmly adhered to the pancreas, which was treated surgically, with spleen and pancreas preservation. SIMILAR CASES PUBLISHED: Although many cases on treatment of giant splenic artery aneurysm have been published, the majority have described additional visceral resections associated with aneurysmectomy, which is in contrast with our report. Furthermore, aneurysms reaching 10 cm in size were extremely rare.

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