Spontaneous rupture of a left omental artery aneurysm treated by transcatheter arterial embolization: A case report

BACKGROUND: Omental artery aneurysms are extremely rare. Their rupture is related to high mortality and often treated by open surgery. We describe a case of a spontaneous rupture of a left omental artery aneurysm (OAA) that was successfully treated by transcatheter arterial embolization (TAE). CASE...

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Detalles Bibliográficos
Autores principales: Maghrebi, Houcine, Zaiem, Asma, Beji, Hazem, Jeribi, Bedis, Hadded, Anis, boukriba, Seif, Frikha, Wassim, Hamissa, Selim, Jouini, Mohamed, Kacem, Montasser
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9577645/
https://www.ncbi.nlm.nih.gov/pubmed/36268357
http://dx.doi.org/10.1016/j.amsu.2022.104704
Descripción
Sumario:BACKGROUND: Omental artery aneurysms are extremely rare. Their rupture is related to high mortality and often treated by open surgery. We describe a case of a spontaneous rupture of a left omental artery aneurysm (OAA) that was successfully treated by transcatheter arterial embolization (TAE). CASE PRESENTATION: A 68-year-old man presented with acute abdominal pain. On examination, he was hypotensive and tachycardic with a blood pressure of 90/50 mm Hg. He had diffuse abdominal distension and tenderness. An abdominal enhanced computed tomography scan (CT) showed a rupture of the left OAA responsible for moderate hemoperitoneum. We performed a successful TAE. CONCLUSION: Ruptured OAA causes high mortality. OAA represents the rarest form of splanchnic artery aneurysms. Interventional radiology permits to avoid unnecessary surgery. TAE is a safe procedure to control ruptured OAA. We highlight the importance of a rapid embolization if the patient is hemodynamically stable.

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