Abstract
A case of a ruptured middle colic artery is reported. The diagnosis was initially overlooked and eventually made by selective arteriography. Aneurysms of visceral arteries are rare and rupture of them even more infrequent. Awareness of this potentially fatal and treatable entity should enable early detection by selective visceral arteriography. The roles of embolization and surgery in the management of visceral aneurysms are discussed.
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References
DeBakey ME, Cooley DA (1953) Successful resection of mycotic aneurysm of superior mesenteric artery. Amer Surg 19:202–212
Rueter SR, Fry WJ, Bookstein JJ (1968) Mesenteric artery branch aneurysms. Arch Surg 93:498–499
Kadir S (1986) Diagnostic angiography, 1st ed., Saunders & Co., Philadelphia, pp. 346–348
McNamara MF, Griska LB (1980) Superior mesenteric artery branch aneurysms. Surgery 88:625–630
Srinivasan R, Parvin SD, Lambert D (1990) Spontaneously ruptured middle colic artery aneurysm in a patient with Marfan's syndrome. Eur J Vasc Surg 4:317–318
Busuttil RW, Brin BJ (1980) The diagnosis and management of visceral artery aneurysms. Surgery 88:619–624
Mitchell MB, McAnena OJ, Rutherford RB (1993) Ruptured mesenteric artery aneurysm in a patient with alpha-1-antitrypsin deficiency: Etiologic implications. J Vasc Surg 17:420–424
Reuter SR, Redman HC, Cho KJ (1986) Gastrointestinal angiography, 3rd ed. Saunders & Co., Philadelphia. pp. 97–104
Probst P, CastanedaZuniga WR, Gomes AS, Yonehiro EG, Delaney JP, Amplatz K (1978) Nonsurgical treatment of splenic artery aneurysms. Radiology 128:619–623
Rosen RJ, Rothberg M (1982) Transhepatic embolization of hepatic artery pseudoaneurysm following biliary drainage. Radiology 145:532–533
Teich S, Tsangaris N, Giordano J, Druy E (1989) Mycotic aneurysm of the inferior pancreato duodenal artery; Successful non operative management. South Med. J 82(2):267–269
Bindman DJ, Rogoff PA, Bartlett FF, Shortsleeve MJ (1990) Transcatheter embolization of a ruptured superior mesenteric artery aneurysm with Gianturco coils: A case report. Cardiovas Intervent Radiol 13:289–290
Hennessey O, Gibson RN, Allison DJ (1986) Use of giant steel coils in the therapeutic management of a superior mesenteric artery portal vein fistula. Cardiovasc Intervent Radiol 9:42–45
Desai SB, Modhe JM, Aulakh BG, Ravi R, Sukthankar RU, Pardiwalla BB (1987) Percutaneous transcatheter steel coil embolisation of a large proximal post traumatic superior mesenteric arteriovenous fistula. Journal of Trauma 27:1091–1094
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Dravid, V.S., Sullivan, K.L., Carter, W.B. et al. Role of selective arteriography in the diagnosis of a ruptured middle colic artery aneurysm. Cardiovasc Intervent Radiol 17, 167–169 (1994). https://doi.org/10.1007/BF00195514
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DOI: https://doi.org/10.1007/BF00195514