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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...

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Autores principales: Fukushima, Naoko, Aoki, Hiroaki, Takenaga, Shinsuke, Morikawa, Kazuhiko, Ogawa, Masaichi, Yanaga, Katsuhiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2020
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.
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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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