Peripheral Inflammatory Superior Mesenteric Artery Aneurysm Diagnosed by Intraoperative and Histological Findings: A Case Report

Although rare, superior mesenteric artery aneurysms (SMAAs) are life-threatening due to their high rupture rate. We herein report a case involving an 80-year-old man who presented with acute cholecystitis and who was incidentally found to have a 36-mm peripheral SMAA. A surgical intervention was per...

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Autores principales: Suehiro, Yasuo, Seo, Hiroyuki, Kubota, Yuko, Suehiro, Shigefumi, Hirai, Hidekazu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7758574/
https://www.ncbi.nlm.nih.gov/pubmed/33391561
http://dx.doi.org/10.3400/avd.cr.20-00078
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author Suehiro, Yasuo
Seo, Hiroyuki
Kubota, Yuko
Suehiro, Shigefumi
Hirai, Hidekazu
author_facet Suehiro, Yasuo
Seo, Hiroyuki
Kubota, Yuko
Suehiro, Shigefumi
Hirai, Hidekazu
author_sort Suehiro, Yasuo
collection PubMed
description Although rare, superior mesenteric artery aneurysms (SMAAs) are life-threatening due to their high rupture rate. We herein report a case involving an 80-year-old man who presented with acute cholecystitis and who was incidentally found to have a 36-mm peripheral SMAA. A surgical intervention was performed, involving resection of the SMAA and reconstruction of the superior mesenteric artery (SMA) using an autologous vein graft. Intraoperative and histological findings indicated an inflammatory aneurysm, and the postoperative course was uneventful. We believe that resection of the aneurysm and reconstruction of the SMA is the preferred procedure for SMAAs to maintain adequate mesenteric circulations.
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spelling pubmed-77585742020-12-31 Peripheral Inflammatory Superior Mesenteric Artery Aneurysm Diagnosed by Intraoperative and Histological Findings: A Case Report Suehiro, Yasuo Seo, Hiroyuki Kubota, Yuko Suehiro, Shigefumi Hirai, Hidekazu Ann Vasc Dis Case Report Although rare, superior mesenteric artery aneurysms (SMAAs) are life-threatening due to their high rupture rate. We herein report a case involving an 80-year-old man who presented with acute cholecystitis and who was incidentally found to have a 36-mm peripheral SMAA. A surgical intervention was performed, involving resection of the SMAA and reconstruction of the superior mesenteric artery (SMA) using an autologous vein graft. Intraoperative and histological findings indicated an inflammatory aneurysm, and the postoperative course was uneventful. We believe that resection of the aneurysm and reconstruction of the SMA is the preferred procedure for SMAAs to maintain adequate mesenteric circulations. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2020-12-25 /pmc/articles/PMC7758574/ /pubmed/33391561 http://dx.doi.org/10.3400/avd.cr.20-00078 Text en © 2020 The Editorial Committee of Annals of Vascular Diseases. http://creativecommons.org/licenses/by/2.5/ This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Suehiro, Yasuo
Seo, Hiroyuki
Kubota, Yuko
Suehiro, Shigefumi
Hirai, Hidekazu
Peripheral Inflammatory Superior Mesenteric Artery Aneurysm Diagnosed by Intraoperative and Histological Findings: A Case Report
title Peripheral Inflammatory Superior Mesenteric Artery Aneurysm Diagnosed by Intraoperative and Histological Findings: A Case Report
title_full Peripheral Inflammatory Superior Mesenteric Artery Aneurysm Diagnosed by Intraoperative and Histological Findings: A Case Report
title_fullStr Peripheral Inflammatory Superior Mesenteric Artery Aneurysm Diagnosed by Intraoperative and Histological Findings: A Case Report
title_full_unstemmed Peripheral Inflammatory Superior Mesenteric Artery Aneurysm Diagnosed by Intraoperative and Histological Findings: A Case Report
title_short Peripheral Inflammatory Superior Mesenteric Artery Aneurysm Diagnosed by Intraoperative and Histological Findings: A Case Report
title_sort peripheral inflammatory superior mesenteric artery aneurysm diagnosed by intraoperative and histological findings: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7758574/
https://www.ncbi.nlm.nih.gov/pubmed/33391561
http://dx.doi.org/10.3400/avd.cr.20-00078
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