A rare case of haemorrhagic shock secondary to spontaneous rupture of a branch of the left colic artery and the right gastric artery

Pisavadia, Bhavini; Hanif, Mian; Rana, K.G.S.; Budhoo, Misra; Zaman, S

doi:10.1308/rcsann.2018.0056

Cited by 3 publications

(4 citation statements)

References 6 publications

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“…10 A significant number of literature studies advocated intervention when the aneurysm diameter is 1 cm in the proximal segment and 2 cm in the distal segment of the IMA and for all pseudoaneurysms. 3,5,11 The histopathological findings of a possible pseudoaneurysm were unexpected as it did not support the intraoperative observations during dissection and manipulation of the vessel. Furthermore, the patient did not have any of the risk factors that might cause the formation of a pseudoaneurysm, such as iatrogenic vessel injury (recent abdominal surgery or visceral artery catheterisation), radiological or biochemical indication of intraabdominal sepsis or any past medical history or radiological findings of vasculitis.…”

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…IMA aneurysms present either incidentally as part of diagnostic imaging for other conditions or with non-specific symptoms such as abdominal pain, lower back pain and haemodynamic instability due to rupture. 2,3 Atherosclerosis is considered to be the main aetiology which can predispose directly to visceral artery aneurysm formation. 1 However, a number of authors have suggested that the whole process may be secondary to CA and SMA occlusion resulting in a high flow state through the IMA and aneurysmal degeneration.…”

Section: Discussionmentioning

confidence: 99%

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Surgical Excision of a Contained Rupture of an Inferior Mesenteric Aneurysm

Dubois

Mathew

Makris

et al. 2022

Vasc Endovascular Surg

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Inferior mesenteric artery (IMA) aneurysms represent the minority of visceral aneurysm presentations. A 57-year-old female was admitted with a symptomatic IMA aneurysm secondary to atherosclerotic disease. She was treated with open excision which revealed a contained ruptured of a true aneurysm. This case highlights the challenges of an accurate preoperative diagnosis of IMA aneurysm and the correct position of the recent guidelines on visceral aneurysms issued by the Society of Vascular Surgery (SVS).

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Surgical Excision of a Contained Rupture of an Inferior Mesenteric Aneurysm

Dubois

Mathew

Makris

et al. 2022

Vasc Endovascular Surg

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Left colic artery aneurysm

Kota

Wang

Leckie

et al. 2020

Journal of Vascular Surgery

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Spontaneous mesenteric hematoma occurring during antithrombotic therapy and responsive to surgical treatment: a case report

Aoki,

Yoshii,

Fujino

et al. 2024

surg case rep

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Background Spontaneous mesenteric hematoma is a rare condition that is diagnosed when clinical and pathological findings do not identify an obvious causative disease. Various treatment options for spontaneous mesenteric hematoma exist; however, there are no clear treatment criteria. Herein, we report a case of spontaneous mesenteric hematoma that was successfully treated surgically and discuss the optimum treatment strategy based on similar cases. Case presentation A 63-year-old man with abdominal persisting for 3 days presented to our hospital after going into shock without any triggers. The patient had a history of atrial fibrillation, stroke, and an aneurysm, and was receiving antithrombotic therapy. Abdominal contrast-enhanced computed tomography revealed a mass structure within the sigmoid mesentery, which was suspected to be a hematoma. The patient was admitted to the hospital for follow-up observation after initial infusion and vital stabilization. However, the following day, the patient developed acute generalized peritonitis with necrosis of the sigmoid colon; therefore, emergency Hartmann’s surgery was performed. Intraoperative and histopathological examinations revealed no evidence of bleeding. Conclusion Spontaneous mesenteric hematomas tend to be associated with intestinal necrosis and may require surgical treatment with bowel resection owing to the difficulty in identifying the responsible vessel. Moreover, our results suggest that the presence of antithrombotic therapy may be an important factor affecting spontaneous mesenteric hematoma development.

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A rare case of haemorrhagic shock secondary to spontaneous rupture of a branch of the left colic artery and the right gastric artery

Cited by 3 publications

References 6 publications

Surgical Excision of a Contained Rupture of an Inferior Mesenteric Aneurysm

Surgical Excision of a Contained Rupture of an Inferior Mesenteric Aneurysm

Left colic artery aneurysm

Spontaneous mesenteric hematoma occurring during antithrombotic therapy and responsive to surgical treatment: a case report

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