Successful endovascular embolisation of a jejunal artery aneurysm

Lo, Zhiwen Joseph; Leow, Jeffrey J.; Tan, Ker‐Kan; Tan, Glenn Wei Leong

doi:10.11622/smedj.2015051

Cited by 3 publications

(4 citation statements)

References 14 publications

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“…We propose the noteworthy size is linked with continual irritation from surrounding chronic pancreatic inflammatory reactions, resulting in the increased elasticity and pliancy of the pseudoaneurysms/pseudocyst walls. Evidence to support our hypothesis is the relatively thickened and enhanced granulation wall of the gigantic pseudoaneurysm [10,11].…”

Section: Discussionsupporting

confidence: 74%

“…In theory, the jejunal artery has fewer arterial arcades when compared with other visceral branches, thus giving rise to the concern of increased risk of bowel ischemia. However, growing cases of jejunal artery aneurysm and pseudoaneurysm embolizations without bowel ischemia and recurrence are achieved and documented [10]. We performed this technique for our patient successfully without any apparent complication.…”

Section: Optimal Methods Of Treatmentmentioning

confidence: 83%

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Gigantic Jejunal Artery Pseudoaneurysm:A Very Rare Case Report, its Management with Endovascular Coiling and Review of the Literature

Chen¹,

Shih²,

Lin³

et al. 2018

J Rare Disord Diagn Ther

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is exceptionally rare and not well documented. We present an unusual case of a gigantic jejunal pseudoaneurysm secondary to chronic pancreatitis, treated successfully with endovascular coil embolization. We also discuss the clinical presentation, diagnosis techniques, and the currently available treatment options for visceral pseudoaneurysms. Case ReportWe present a case of a 37-year-old male, admitted into our emergency department due to persistent, intractable epigastric pain. A physical examination discovered a sizeable pulsatile mass over epigastrium. The patient had a history of alcohol

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Section: Discussionsupporting

confidence: 74%

Section: Optimal Methods Of Treatmentmentioning

confidence: 83%

Gigantic Jejunal Artery Pseudoaneurysm:A Very Rare Case Report, its Management with Endovascular Coiling and Review of the Literature

Chen¹,

Shih²,

Lin³

et al. 2018

J Rare Disord Diagn Ther

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“…The above-mentioned key words yielded a total of 103 cases in 100 patients from 60 manuscripts [ 4 , 6 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 ,...…”

Section: Resultsunclassified

“…Accordingly, in our literature search, we were able to identify only 103 cases of JA and IA aneurysms in 100 patients during an interval period of almost 80 years, with a definite predominance of the first type [ 4 , 6 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , …”

Section: Discussionmentioning

confidence: 99%

Crohn’s Disease and Jejunal Artery Aneurysms: A Report of the First Case and a Review of the Literature

et al. 2022

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Background and Objectives: Jejunal artery (JA) and ileal artery (IA) aneurysms constitute less than 3% of all visceral artery aneurysms (VAAs), carrying a risk of rupture as high as 30%, and a mortality of 20%. Though many etiologies have been reported in the literature, no mention exists on a causal association between these aneurysms and inflammatory bowel diseases (IBD). We present the first case of a JA aneurysm related to Crohn’s Disease (CD) together with a review of the literature. Materials and Methods: A 74-year-old male presenting with CD intestinal relapse and an incidental finding at the computed tomography enterography (CTE) of a 53 × 47 × 25mm apparently intact JA pseudoaneurysm, arising from the first and second jejunal branches, underwent coil embolization followed by small bowel resection, with an uneventful outcome. We also included the review of literature on JA and IA aneurysms, analyzing all reports published in PubMed and Scopus from 1943 to July 2022. Results: 60 manuscripts with 103 cases of JA and IA aneurysms in 100 patients were identified. Among cases with available data, 34 (33.0%) presented acutely with rupture, 45 (43.7%) were described as non-ruptured. 83 (80.6%), and 14 (13.6%) were JA and IA aneurysms, respectively, having a median size of 15 (range:3.5–52) mm. Atherosclerosis (16.5%), infections (10.7%), and vasculitides/connective tissue disorders (9.7%) represented the main causes mentioned. Mean age was 53.6 (±19.2) years, male patients being 59.4%. One third of patients (32.4%) were asymptomatic. Overall, treatment was indicated in 63% of patients, with surgery and endovascular procedures performed in 61.9% and 38.1% cases, respectively. The technical success rate of endovascular treatment (EVT) was 95.8%. The mortality rate was 11.8%, being higher (21.2%) in the rupture group. Conclusions: The prompt treatment accomplished in our case granted a successful outcome. JA and IA aneurysms should be included among local complications of IBD. Considering their high potential for rupture, regardless of size, a low threshold for endovascular or surgical treatment should be applied.

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Surgical Treatment of Jejunal Artery Aneurysm

Toya

Uehara

Ito

et al. 2018

EJVES Short Reports

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IntroductionA jejunal artery aneurysm (JAA) is rare and has few specific symptoms. Endovascular repair is widely used in the treatment of jejunal artery aneurysms; however, some patients still require open repair.ReportA 59 year old man underwent open surgery with resection of the aneurysm and reconstruction using a saphenous vein graft. Histopathological examination revealed heterotopic pancreas around the aneurysm.DiscussionInflammation as a result of heterotopic pancreas was suspected as the cause of JAA. The advantage of open repair is to explore intestinal ischaemia directly. Furthermore, revascularisation with a saphenous vein graft may remove the possibility of post-operative intestinal ischaemia.

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Successful endovascular embolisation of a jejunal artery aneurysm

Cited by 3 publications

References 14 publications

Gigantic Jejunal Artery Pseudoaneurysm:A Very Rare Case Report, its Management with Endovascular Coiling and Review of the Literature

Gigantic Jejunal Artery Pseudoaneurysm:A Very Rare Case Report, its Management with Endovascular Coiling and Review of the Literature

Crohn’s Disease and Jejunal Artery Aneurysms: A Report of the First Case and a Review of the Literature

Surgical Treatment of Jejunal Artery Aneurysm

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