acute retroperitoneal bleeding due to inferior mesenteric artery aneurysm case report急性腹膜后出血由于肠系膜下动脉动脉瘤病例报告.pdfVIP

Pérez-Vallecillos et al. BMC Gastroenterology 2010, 10:59 /1471-230X/10/59 C A S E R E P O R T Open Access Case report Acute retroperitoneal bleeding due to inferior mesenteric artery aneurysm: Case report †1 †2 2 1 2 1 P Pérez-Vallecillos , R Conde-Muíño , I Segura-Jiménez , N Maldonado-Fernández , JA Ferrón , V García-Róspide and P Palma*2 Abstract Background: Visceral artery aneurysms (VAA), although uncommon, are increasingly being detected. We describe a case of spontaneous retroperitoneal hemorrhage from a ruptured IMA aneurysm associated with stenosis of the superior mesenteric artery (SMA) and celiac trunk, successfully treated with surgery. Methods: A 65-year-old man presented with abdominal pain and hypovolemic shock. Abdominal CT scan showed an aneurysm of the inferior mesenteric artery with retroperitoneal hematoma. In addition, an obstructive disease of the superior mesenteric artery and celiac axis was observed. Results: Upon emergency laparotomy a ruptured inferior mesenteric artery aneurysm was detected. The aneurysm was excised and the artery reconstructed by end-to-end anastomosis. Conclusions: This report discusses the etiology, presentation, diag nosis and case management of inferior mesenteric artery aneurysms. Background rette smoker for more than 20 years, had arterial hyper- Visceral artery aneurysms (VAA), although uncommon, tension and a medical history of cholecystectomy and are increasingly being detected. The exact prevalence is appendectomy. Abdominal CT imaging showed a huge not well documented and it is mainly k