Selective jejunal artery pseudoaneurysm embolization in a patient with massive gastrointestinal bleeding due to intestinal tuberculosis

Successful endovascular embolisation of a jejunal artery aneurysm

“…(1)(2)(3)(4)(5)(6) Of the 18 case series of splanchnic artery aneurysms in the literature, only two out of a total of 561 patients were reported to have jejunal artery aneurysms. (7)(8)(9)(10) Jejunal artery aneurysms are usually diagnosed incidentally during CT radiography performed for another indication, (1)(2)(3)5,6) and rarely, they may also be diagnosed during an operative procedure such as a pancreaticoduodenectomy. (4) Any splanchnic artery aneurysm has significant clinical implications due to the possibility of causing rupture, bleeding and even occlusion, thus causing ischaemic bowel.…”

“…(7)(8)(9) However, with the widespread use of CT angiography, there is increased detection of asymptomatic splanchnic artery aneurysms, in which treatment by angioembolisation has been shown to be effective as a first-line treatment with few complications and low recurrence rates. (2,5,(7)(8)(11)(12)(13)(14)(15) First described in 1974, angiographic diagnosis and treatment of gastrointestinal haemorrhage has since progressed significantly with advances in microcatheter technology, digital fluoroscopy and increased experience of interventional radiologists. Numerous reports have documented its safety and high rates of success of over 90%.…”

“…To date, there are only six case reports of jejunal artery aneurysms published in the literature, five of which underwent endovascular embolisation. (1)(2)(3)(4)(5)(6) We present a case of successful embolisation of a 9-mm jejunal artery aneurysm, which was found incidentally, and a brief review of the literature.…”

Tuberculous abdominal aortic pseudoaneurysm with renal and vertebral tuberculosis: a case and literature review

“…At present, surgery of choices include open surgery (in situ reconstruction [8][9][10][11] or extra-anatomic bypass [7,16]) and interventional therapy (embolization [14,17,21,25], stenting [26], or endovascular aneurysm repair [13,23,24,[28][29][30]) along with anti-tuberculosis therapy. The most common operation is resection of the infected arterial segment, debridement of the surrounding tissues, and revascularization of the lower extremities using grafts brought through uninfected tissues remote from the infected site (extra-anatomic bypass).…”

N-Butyl Cyanoacrylate Embolization of Small Bowel Arteriovenous Malformation Presenting with Acute Massive Lower Gastrointestinal Hemorrhage

“…In 4.7-14% of the population, the gonadal artery arises from the main renal artery or an accessory renal artery (3). Case reports describe the gonadal artery also arising from a lumbar artery, common or internal iliac artery, or the inferior epigastric artery (4,5). A renally originating gonadal artery is more common on the left (81%) than on the right (3).…”