Transcatheter embolization of a ruptured superior mesenteric artery aneurysm with gianturco coils: A case report

Bindman, David J.; Rogoff, P; Bartlett, Frederick F.; Shortsleeve, Michael J.

doi:10.1007/bf02578627

Cited by 19 publications

(8 citation statements)

References 5 publications

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“…62 The more recent literature has reported cases managed successfully with angiographic embolization. Embolization of ruptured SMAAs was first described by Bindman et al in 1990. 58 Indications for embolization of SMAAs include saccular aneurysms, or aneurysms of the first branch with sufficient collaterals.…”

Section: Discussionmentioning

confidence: 99%

“…Embolization of ruptured SMAAs was first described by Bindman et al in 1990. 58 Indications for embolization of SMAAs include saccular aneurysms, or aneurysms of the first branch with sufficient collaterals. Embolization should not be performed in cases of fusiform aneurysms of the SMA trunk, except as an emergency treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Embolization should not be performed in cases of fusiform aneurysms of the SMA trunk, except as an emergency treatment. 58 Embolization is generally performed with microcoils, as particulate material (such as gelatin) has been reported to cause bowel infarction as a consequence of embolization to peripheral vessels. Because microcoils are a permanent embolizing material, migration into other arteries may cause severe complications.…”

Section: Discussionmentioning

confidence: 99%

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

Stollman

2001

Journal of Clinical Gastroenterology

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Stollman

2001

Journal of Clinical Gastroenterology

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“…However, Bindman et al [11] reported the first application of transcatheter embolization for treatment of a ruptured SMA aneurysm. In the present case, the Fig.…”

Section: Discussionmentioning

confidence: 99%

Ruptured superior mesenteric artery aneurysms during treatment of tetanus: a case report

Takahashi

Matsumiya

Tanaka

et al. 2000

Journal of Anesthesia

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toxoid, human tetanus immunoglobulin, and penicillin G intravenously as the usual treatment. Although he was conscious and alert, he exhibited signs of lockjaw, which progressed to opisthotonos 10 h after admission. The patient's muscle spasms became so severe that it was necessary to intubate his trachea, using intravenous midazolam and vecuronium bromide to allow controlled ventilation.After the onset of severe muscle spasms, cardiovascular instability occurred frequently. Despite the administration of intravenous diltiazem hydrochloride 5 mg hourly and nicardipine 1 mg as required, the patient's hemodynamic state remained unstable, and his systolic blood pressure exceeded 200 mmHg on several occasions. His condition was classified as very severe tetanus, as graded by modified Ablett's classification [1,2].One week following admission, the patient suddenly developed hypotension and tachycardia (Fig. 1). Although he had often shown the alternate hypertension and hypotension caused by sympathetic storm, we suspected hemorrhagic hypotension in this situation. This suspicion was confirmed by a decrease in hemoglobin concentration from 12.5 to 10.7 g·dl Ϫ1 after fluid resuscitation. A massive intraperitoneal hematoma was detected by abdominal ultrasonography and computed tomography. The emergency arteriography showed bleeding from multiple SMA aneurysms (Fig. 2). We used a 5-Fr catheter (Mallinckrodt) via the right femoral artery. Embolization was then performed with eight coils Cook), gelatine (Gelfoam), and 3-0 silk strings. After embolization for the aneurysms of the main trunk, the patient's hemodynamic state returned to a normal range (Fig. 2).Temporary paralytic ileus resulted from the embolization and the peritoneal hematoma, requiring treatment with sodium picosulfate orally, panthenol and dinoprost (PGF 2α ) intravenously, and glycerin

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“…Treatment of splenic and hepatic artery aneurysms and visceral pseudoaneurysms using embolization instead of surgery has been reported [ 9 -1 1 ] . Embolization using steel coils of a ruptured S M A aneurysm has been described, however the aneurysm reruptured and definitive control was accomplished surgically [12]. Steel coils have also been used in the embolization of a superior mesenteric artery to portal vein fistula and a posttraumatic superior mesenteric arteriovenous fistula [ 13,14].…”

Section: Discussionmentioning

confidence: 99%

Role of selective arteriography in the diagnosis of a ruptured middle colic artery aneurysm

Dravid

Sullivan

Carter

et al. 1994

Cardiovasc Intervent Radiol

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A case of a ruptured middle colic artery is reported. The diagnosis was initially overlooked and eventually made by selective arteriography. Aneurysms of visceral arteries are rare and rupture of them even more infrequent. Awareness of this potentially fatal and treatable entity should enable early detection by selective visceral arteriography. The roles of embolization and surgery in the management of visceral aneurysms are discussed.

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Transcatheter embolization of a ruptured superior mesenteric artery aneurysm with gianturco coils: A case report

Abstract: Reports of superior mesenteric artery embolization without the sequela of bowel ischemia or infarction are sparse. We report embolization of the main trunk of the superior mesenteric artery for control of a ruptured aneurysm without subsequent ischemia.

Cited by 19 publications

References 5 publications

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

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

Ruptured superior mesenteric artery aneurysms during treatment of tetanus: a case report

Role of selective arteriography in the diagnosis of a ruptured middle colic artery aneurysm

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