Obstructive jaundice secondary to a pseudoaneurysm of the superior mesenteric artery

Pérez, Ángel Camarasa; Sánchez, Ana Soto; Sánchez, Luis Eduardo Pérez; Barroso, Moisés Hernández; Hernández, Guillermo; Gómez, Manuel Ángel Barrera

doi:10.17235/reed.2022.8856/2022

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…However, it can also be initially asymptomatic, leading to delayed diagnosis. 7,8 Early diagnosis and treatment are crucial to reduce the risk of intestinal infarction and mortality and to prevent life-threatening complications such as mesenteric ischemia, thrombosis, and rupture with massive bleeding. 9,10 The rupture of a pseudoaneurysm can have severe consequences, with mortality rates ranging from 25 to 70%.…”

Section: Discussionmentioning

confidence: 99%

Mycotic Superior Mesenteric Artery Pseudoaneurysm Following Infective Endocarditis in a Patient with Rheumatic Heart Disease: A Case Report

Almadwahi,

Al-Hashedi,

Jowah

2024

Preprint

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This case report presents a rare case of a 25-year-old female patient with a known history of rheumatic heart disease who developed a pseudoaneurysm of the superior mesenteric artery (SMAPA) after infective endocarditis (IE). The patient presented with chest pain, shortness of breath, and fever, and was diagnosed with IE and severe mitral valve regurgitation (MVR). After receiving appropriate medical treatment for six weeks, the patient developed a vague and dull abdominal pain, initially attributed to septic emboli of the mitral valve vegetations. However, subsequent evaluation revealed a mycotic SMAPA, which was treated with open surgical repair due to unfavorable anatomical characteristics and infectious etiology. This case highlights the importance of maintaining a high level of clinical suspicion of mycotic pseudoaneurysms in patients with risk factors and the importance of using CTA as the gold standard imaging modality for accurate patient evaluation.

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Section: Discussionmentioning

confidence: 99%

Mycotic Superior Mesenteric Artery Pseudoaneurysm Following Infective Endocarditis in a Patient with Rheumatic Heart Disease: A Case Report

Almadwahi,

Al-Hashedi,

Jowah

2024

Preprint

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show abstract

“…These conditions include abdominal pain, which can be intermittent or severe; a throbbing mass in the abdomen; shock; and, in rare cases, obstructive jaundice. However, they can also be initially asymptomatic, leading to a delayed diagnosis [7,8]. Early diagnosis and treatment are crucial for reducing the risk of intestinal infarction and mortality and preventing life-threatening complications such as mesenteric ischemia, thrombosis, and rupture with massive bleeding [9,10].…”

Section: Discussionmentioning

confidence: 99%

Superior Mesenteric Artery Mycotic Pseudoaneurysm Following Infective Endocarditis in a Patient With Rheumatic Heart Disease: A Case Report

Al-Madhwahi,

Al-Hashedi,

Jowah

2024

Cureus

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Obstructive jaundice secondary to a pseudoaneurysm of the superior mesenteric artery

Cited by 2 publications

References 4 publications

Mycotic Superior Mesenteric Artery Pseudoaneurysm Following Infective Endocarditis in a Patient with Rheumatic Heart Disease: A Case Report

Mycotic Superior Mesenteric Artery Pseudoaneurysm Following Infective Endocarditis in a Patient with Rheumatic Heart Disease: A Case Report

Superior Mesenteric Artery Mycotic Pseudoaneurysm Following Infective Endocarditis in a Patient With Rheumatic Heart Disease: A Case Report

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