Lupus Abdominal Crisis Owing to Rupture of an Ileocolic Aneurysm with Successful Angiographic Treatment

Abstract

There are many causes of acute abdominal pain, or abdominal "crises," in patients with systemic lupus erythematosus (SLE), most frequently the causes are serositis or vasculitis. Vasculitis generally causes small vessel abnormalities and may present with symptoms owing to mucosal damage, such as pain, diarrhea, or bleeding. We present a patient with SLE who had the acute onset of severe abdominal pain while hospitalized for a lupus flare and who was found to have a ruptured ileocolic aneurysm with intraperitoneal bleeding. She was successfully managed with angiographic embolization, without further complications. Although angiography is well established as a therapeutic intervention for mesenteric aneurysms of various etiologies, this is the first case of an SLE-related ileocolic aneurysm so managed. This entity should be considered in the differential diagnosis of abdominal pain in patients with lupus, and angiographic embolization should be considered in its management.

Treatment of a Celiac Artery Aneurysm with Endovascular Stent Grafting

“…VAA have been reported. 15 Systemic lupus erythematosus is the most likely etiology of the CAA in the present case report since there is no evidence for other atherosclerotic lesions, and the patient had no previous upper abdominal infections, surgery, or trauma.…”

Pseudoaneurisma roto de artéria ileocólica: relato de caso

“…Certain limitations of open surgery make minimally invasive endovascular procedures an option for patients who are at greater risk from surgery. 8 , 9 , 16 For hemodynamically stable patients, ET remains the first-choice option for known arterial bleeding and is considered safe and effective for treating VAPAs. One advantage of this type of approach is that it enables treatment to be tailored to different conditions, making the method more precise for reducing postoperative morbidity.…”

“…Diante de algumas limitações na cirurgia aberta, o procedimento endovascular, por ser minimamente invasivo, tornou-se uma alternativa para pacientes que apresentavam maiores riscos cirúrgicos 8 , 9 , 16 . No caso de pacientes hemodinamicamente estáveis, o TE permanece a primeira opção para sangramento arterial conhecido e é considerado seguro e efetivo para tratar PAAVs.…”

Symptomatic Aneurysm of Ileocolic Artery Presenting as Gastrointestinal Bleed

“…Superior mesenteric artery branch aneurysms are very rare and potentially lethal vascular disease with an estimated incidence of one in 12,000 autopsies. 1 Ileocolic aneurysms are very uncommon and generally asymptomatic. Superior mesenteric branch aneurysms usually become symptomatic at the time of rupture.…”