A Unique Case of Severe Hematochezia: Ruptured Pseudoaneurysm of the Superior Rectal Artery

Visceral artery aneurysms are rare, with an incidence of 0.01%–2% based on autopsy results. Among the visceral arteries, inferior mesenteric artery aneurysms are the rarest. To our knowledge, we report the first case of acute lower gastrointestinal bleeding in a 45-year-old man, arising from a nontr...

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Autores principales: Marusca, Georgiana, Yeddi, Ahmed, Kiwan, Wissam, Al Masalmeh, Nada, Newberger, Shane, Kakos, Roger, Ehrinpreis, Murray
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7951116/
https://www.ncbi.nlm.nih.gov/pubmed/33718506
http://dx.doi.org/10.14309/crj.0000000000000468
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author Marusca, Georgiana
Yeddi, Ahmed
Kiwan, Wissam
Al Masalmeh, Nada
Newberger, Shane
Kakos, Roger
Ehrinpreis, Murray
author_facet Marusca, Georgiana
Yeddi, Ahmed
Kiwan, Wissam
Al Masalmeh, Nada
Newberger, Shane
Kakos, Roger
Ehrinpreis, Murray
author_sort Marusca, Georgiana
collection PubMed
description Visceral artery aneurysms are rare, with an incidence of 0.01%–2% based on autopsy results. Among the visceral arteries, inferior mesenteric artery aneurysms are the rarest. To our knowledge, we report the first case of acute lower gastrointestinal bleeding in a 45-year-old man, arising from a nontraumatic pseudoaneurysm of the superior rectal artery, a branch of the inferior mesenteric artery. Urgent angiography provided the diagnosis and allowed successful hemostatic intervention via endovascular coil embolization. A subsequent routine colonoscopy revealed an ulcer with central yellow-bluish bulge in the distal rectum correlating with the site of the treated pseudoaneurysm.
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spelling pubmed-79511162021-03-12 A Unique Case of Severe Hematochezia: Ruptured Pseudoaneurysm of the Superior Rectal Artery Marusca, Georgiana Yeddi, Ahmed Kiwan, Wissam Al Masalmeh, Nada Newberger, Shane Kakos, Roger Ehrinpreis, Murray ACG Case Rep J Case Report Visceral artery aneurysms are rare, with an incidence of 0.01%–2% based on autopsy results. Among the visceral arteries, inferior mesenteric artery aneurysms are the rarest. To our knowledge, we report the first case of acute lower gastrointestinal bleeding in a 45-year-old man, arising from a nontraumatic pseudoaneurysm of the superior rectal artery, a branch of the inferior mesenteric artery. Urgent angiography provided the diagnosis and allowed successful hemostatic intervention via endovascular coil embolization. A subsequent routine colonoscopy revealed an ulcer with central yellow-bluish bulge in the distal rectum correlating with the site of the treated pseudoaneurysm. Wolters Kluwer 2020-11-09 /pmc/articles/PMC7951116/ /pubmed/33718506 http://dx.doi.org/10.14309/crj.0000000000000468 Text en © 2020 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Marusca, Georgiana
Yeddi, Ahmed
Kiwan, Wissam
Al Masalmeh, Nada
Newberger, Shane
Kakos, Roger
Ehrinpreis, Murray
A Unique Case of Severe Hematochezia: Ruptured Pseudoaneurysm of the Superior Rectal Artery
title A Unique Case of Severe Hematochezia: Ruptured Pseudoaneurysm of the Superior Rectal Artery
title_full A Unique Case of Severe Hematochezia: Ruptured Pseudoaneurysm of the Superior Rectal Artery
title_fullStr A Unique Case of Severe Hematochezia: Ruptured Pseudoaneurysm of the Superior Rectal Artery
title_full_unstemmed A Unique Case of Severe Hematochezia: Ruptured Pseudoaneurysm of the Superior Rectal Artery
title_short A Unique Case of Severe Hematochezia: Ruptured Pseudoaneurysm of the Superior Rectal Artery
title_sort unique case of severe hematochezia: ruptured pseudoaneurysm of the superior rectal artery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7951116/
https://www.ncbi.nlm.nih.gov/pubmed/33718506
http://dx.doi.org/10.14309/crj.0000000000000468
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