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Ruptured visceral artery aneurysms in a patient of neurofibromatosis type 1 (NF-1) successfully treated by endovascular treatment
BACKGROUND: Neurofibromatosis type 1 (NF-1) is an autosomal dominant disease and arteriovenous abnormalities are a well-recognized complication. There are several case reports of ruptured aneurysms; however, among them, reports of superior pancreaticoduodenal artery (PDA) and superior mesenteric art...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6957631/ https://www.ncbi.nlm.nih.gov/pubmed/31932978 http://dx.doi.org/10.1186/s40792-020-0791-6 |
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author | Fukushima, Naoko Aoki, Hiroaki Takenaga, Shinsuke Morikawa, Kazuhiko Ogawa, Masaichi Yanaga, Katsuhiko |
author_facet | Fukushima, Naoko Aoki, Hiroaki Takenaga, Shinsuke Morikawa, Kazuhiko Ogawa, Masaichi Yanaga, Katsuhiko |
author_sort | Fukushima, Naoko |
collection | PubMed |
description | BACKGROUND: Neurofibromatosis type 1 (NF-1) is an autosomal dominant disease and arteriovenous abnormalities are a well-recognized complication. There are several case reports of ruptured aneurysms; however, among them, reports of superior pancreaticoduodenal artery (PDA) and superior mesenteric artery (SMA) aneurysms are rare. We experienced the case of ruptured PDA and SMA aneurysms in a patient of neurofibromatosis type I successfully treated by endovascular treatment. CASE PRESENTATION: A 55-year-old woman with NF-1 came to our hospital with abdominal pain and vomiting. Enhanced abdominal computed tomography revealed a hematoma in the retroperitoneum and an aneurysm in the head of the pancreas. Angiography was performed, and a ruptured aneurysm was suspected the periphery of the PDA, and we embolized it using coils. However, on postoperative day 2, the hemoglobin level decreased, and a branch of the SMA was ruptured. She underwent embolization using coils again and discharged on postoperative day 27 without any further hemorrhage. CONCLUSIONS: To our knowledge, this is the first successfully treated case of ruptured SMA and PDA aneurysms in a patient with NF-1. |
format | Online Article Text |
id | pubmed-6957631 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-69576312020-01-30 Ruptured visceral artery aneurysms in a patient of neurofibromatosis type 1 (NF-1) successfully treated by endovascular treatment Fukushima, Naoko Aoki, Hiroaki Takenaga, Shinsuke Morikawa, Kazuhiko Ogawa, Masaichi Yanaga, Katsuhiko Surg Case Rep Case Report BACKGROUND: Neurofibromatosis type 1 (NF-1) is an autosomal dominant disease and arteriovenous abnormalities are a well-recognized complication. There are several case reports of ruptured aneurysms; however, among them, reports of superior pancreaticoduodenal artery (PDA) and superior mesenteric artery (SMA) aneurysms are rare. We experienced the case of ruptured PDA and SMA aneurysms in a patient of neurofibromatosis type I successfully treated by endovascular treatment. CASE PRESENTATION: A 55-year-old woman with NF-1 came to our hospital with abdominal pain and vomiting. Enhanced abdominal computed tomography revealed a hematoma in the retroperitoneum and an aneurysm in the head of the pancreas. Angiography was performed, and a ruptured aneurysm was suspected the periphery of the PDA, and we embolized it using coils. However, on postoperative day 2, the hemoglobin level decreased, and a branch of the SMA was ruptured. She underwent embolization using coils again and discharged on postoperative day 27 without any further hemorrhage. CONCLUSIONS: To our knowledge, this is the first successfully treated case of ruptured SMA and PDA aneurysms in a patient with NF-1. Springer Berlin Heidelberg 2020-01-13 /pmc/articles/PMC6957631/ /pubmed/31932978 http://dx.doi.org/10.1186/s40792-020-0791-6 Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Case Report Fukushima, Naoko Aoki, Hiroaki Takenaga, Shinsuke Morikawa, Kazuhiko Ogawa, Masaichi Yanaga, Katsuhiko Ruptured visceral artery aneurysms in a patient of neurofibromatosis type 1 (NF-1) successfully treated by endovascular treatment |
title | Ruptured visceral artery aneurysms in a patient of neurofibromatosis type 1 (NF-1) successfully treated by endovascular treatment |
title_full | Ruptured visceral artery aneurysms in a patient of neurofibromatosis type 1 (NF-1) successfully treated by endovascular treatment |
title_fullStr | Ruptured visceral artery aneurysms in a patient of neurofibromatosis type 1 (NF-1) successfully treated by endovascular treatment |
title_full_unstemmed | Ruptured visceral artery aneurysms in a patient of neurofibromatosis type 1 (NF-1) successfully treated by endovascular treatment |
title_short | Ruptured visceral artery aneurysms in a patient of neurofibromatosis type 1 (NF-1) successfully treated by endovascular treatment |
title_sort | ruptured visceral artery aneurysms in a patient of neurofibromatosis type 1 (nf-1) successfully treated by endovascular treatment |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6957631/ https://www.ncbi.nlm.nih.gov/pubmed/31932978 http://dx.doi.org/10.1186/s40792-020-0791-6 |
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