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Rapid Formation and Hybrid Treatment of a Large Superior Mesenteric Artery Aneurysm

Patient: Male, 41-year-old Final Diagnosis: Superior mesenteric artery aneurysm • visceral aneurysm Symptoms: No symptoms • asymptomatic Clinical Procedure: — Specialty: Surgery OBJECTIVE: Unusual clinical course BACKGROUND: Superior mesenteric artery (SMA) aneurysms account for about 5.5% of all vi...

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Autores principales: Kaszczewski, Piotr, Kozubek, Herbert, Ostrowski, Tomasz, Maciąg, Rafał, Chudziński, Witold, Skórski, Maciej, Gałązka, Zbigniew
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10624208/
https://www.ncbi.nlm.nih.gov/pubmed/37898822
http://dx.doi.org/10.12659/AJCR.939558
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author Kaszczewski, Piotr
Kozubek, Herbert
Ostrowski, Tomasz
Maciąg, Rafał
Chudziński, Witold
Skórski, Maciej
Gałązka, Zbigniew
author_facet Kaszczewski, Piotr
Kozubek, Herbert
Ostrowski, Tomasz
Maciąg, Rafał
Chudziński, Witold
Skórski, Maciej
Gałązka, Zbigniew
author_sort Kaszczewski, Piotr
collection PubMed
description Patient: Male, 41-year-old Final Diagnosis: Superior mesenteric artery aneurysm • visceral aneurysm Symptoms: No symptoms • asymptomatic Clinical Procedure: — Specialty: Surgery OBJECTIVE: Unusual clinical course BACKGROUND: Superior mesenteric artery (SMA) aneurysms account for about 5.5% of all visceral aneurysms, and are most commonly secondary to infectious causes or dissection. They tend to expand and rupture. Here, we present our successful diagnosis and treatment of a 41-year-old man with asymptomatic coeliac trunk stenosis, in whom the large aneurysm of the branch of the SMA developed in a very short time after conservative treatment of plastron appendicitis. CASE REPORT: A 41-year-old man was diagnosed with plastron appendicitis during abdomen ultrasound (US) examination. Following 2 weeks of conservative treatment with intravenous antibiotic therapy, complete resolution of symptoms was obtained and confirmed in the computed tomography (CT) scan, and no other pathologies were diagnosed. Three weeks later, during the US examination, a 33-mm aneurysm of the branch of the SMA was diagnosed. The patient was admitted to the Vascular Surgery Department, where a critical stenosis of the coeliac trunk secondary to the compression by median arcuate ligament and a 33-mm true visceral aneurysm of one of the branches of the SMA were diagnosed. Successful treatment of the aneurysm was performed. Surgical decompression of the coeliac trunk and subsequent elective endovascular embolization of the SMA aneurysm with angioplasty of the coeliac trunk were performed. The postoperative period was uneventful and the patient was released from the hospital and remains asymptomatic. CONCLUSIONS: Visceral artery aneurysm can form very quickly. In some of the aneurysms, a combination of open surgical and endovascular methods should be performed.
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spelling pubmed-106242082023-11-04 Rapid Formation and Hybrid Treatment of a Large Superior Mesenteric Artery Aneurysm Kaszczewski, Piotr Kozubek, Herbert Ostrowski, Tomasz Maciąg, Rafał Chudziński, Witold Skórski, Maciej Gałązka, Zbigniew Am J Case Rep Articles Patient: Male, 41-year-old Final Diagnosis: Superior mesenteric artery aneurysm • visceral aneurysm Symptoms: No symptoms • asymptomatic Clinical Procedure: — Specialty: Surgery OBJECTIVE: Unusual clinical course BACKGROUND: Superior mesenteric artery (SMA) aneurysms account for about 5.5% of all visceral aneurysms, and are most commonly secondary to infectious causes or dissection. They tend to expand and rupture. Here, we present our successful diagnosis and treatment of a 41-year-old man with asymptomatic coeliac trunk stenosis, in whom the large aneurysm of the branch of the SMA developed in a very short time after conservative treatment of plastron appendicitis. CASE REPORT: A 41-year-old man was diagnosed with plastron appendicitis during abdomen ultrasound (US) examination. Following 2 weeks of conservative treatment with intravenous antibiotic therapy, complete resolution of symptoms was obtained and confirmed in the computed tomography (CT) scan, and no other pathologies were diagnosed. Three weeks later, during the US examination, a 33-mm aneurysm of the branch of the SMA was diagnosed. The patient was admitted to the Vascular Surgery Department, where a critical stenosis of the coeliac trunk secondary to the compression by median arcuate ligament and a 33-mm true visceral aneurysm of one of the branches of the SMA were diagnosed. Successful treatment of the aneurysm was performed. Surgical decompression of the coeliac trunk and subsequent elective endovascular embolization of the SMA aneurysm with angioplasty of the coeliac trunk were performed. The postoperative period was uneventful and the patient was released from the hospital and remains asymptomatic. CONCLUSIONS: Visceral artery aneurysm can form very quickly. In some of the aneurysms, a combination of open surgical and endovascular methods should be performed. International Scientific Literature, Inc. 2023-10-29 /pmc/articles/PMC10624208/ /pubmed/37898822 http://dx.doi.org/10.12659/AJCR.939558 Text en © Am J Case Rep, 2023 https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Articles
Kaszczewski, Piotr
Kozubek, Herbert
Ostrowski, Tomasz
Maciąg, Rafał
Chudziński, Witold
Skórski, Maciej
Gałązka, Zbigniew
Rapid Formation and Hybrid Treatment of a Large Superior Mesenteric Artery Aneurysm
title Rapid Formation and Hybrid Treatment of a Large Superior Mesenteric Artery Aneurysm
title_full Rapid Formation and Hybrid Treatment of a Large Superior Mesenteric Artery Aneurysm
title_fullStr Rapid Formation and Hybrid Treatment of a Large Superior Mesenteric Artery Aneurysm
title_full_unstemmed Rapid Formation and Hybrid Treatment of a Large Superior Mesenteric Artery Aneurysm
title_short Rapid Formation and Hybrid Treatment of a Large Superior Mesenteric Artery Aneurysm
title_sort rapid formation and hybrid treatment of a large superior mesenteric artery aneurysm
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10624208/
https://www.ncbi.nlm.nih.gov/pubmed/37898822
http://dx.doi.org/10.12659/AJCR.939558
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