Acute retroperitoneal bleeding due to inferior mesenteric artery aneurysm: Case report

P Pérez-Vallecillos,V García-Róspide,R Conde-Muíño,I Segura-Jiménez,P Palma,Ja Ferrón,N Maldonado-Fernández

doi:10.1186/1471-230x-10-59

P Pérez-Vallecillos, V García-Róspide + Show 5 more

Open Access

https://doi.org/10.1186/1471-230x-10-59

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Journal: BMC gastroenterology	Publication Date: Jun 9, 2010
Citations: 32	License type: cc-by

Abstract

BackgroundVisceral artery aneurysms (VAA), although uncommon, are increasingly being detected. We describe a case of spontaneous retroperitoneal hemorrhage from a ruptured IMA aneurysm associated with stenosis of the superior mesenteric artery (SMA) and celiac trunk, successfully treated with surgery.MethodsA 65-year-old man presented with abdominal pain and hypovolemic shock. Abdominal CT scan showed an aneurysm of the inferior mesenteric artery with retroperitoneal hematoma. In addition, an obstructive disease of the superior mesenteric artery and celiac axis was observed.ResultsUpon emergency laparotomy a ruptured inferior mesenteric artery aneurysm was detected. The aneurysm was excised and the artery reconstructed by end-to-end anastomosis.ConclusionsThis report discusses the etiology, presentation, diagnosis and case management of inferior mesenteric artery aneurysms.

Highlights

Visceral artery aneurysms (VAA), uncommon, are increasingly being detected
We describe a case of spontaneous retroperitoneal hemorrhage from a ruptured inferior mesenteric artery (IMA) aneurysm associated with stenosis of the superior mesenteric artery (SMA) and celiac trunk, successfully treated with surgery
Abdominal CT imaging showed a huge retroperitoneal hematoma of 7 × 23 × 25 cm (Fig. 1) and an aneurysm of the IMA about 2 cm from its origin resulting in concurrent occlusion of superior mesenteric and celiac arteries (Fig. 2)

Summary

Introduction

Background Visceral artery aneurysms (VAA), uncommon, are increasingly being detected. We describe a case of spontaneous retroperitoneal hemorrhage from a ruptured IMA aneurysm associated with stenosis of the superior mesenteric artery (SMA) and celiac trunk, successfully treated with surgery. Av. Fuerzas Armadas s/n., 18014 Granada, Spain † Contributed Full list of author information is available at the end of the article rette smoker for more than 20 years, had arterial hypertension and a medical history of cholecystectomy and appendectomy. Abdominal CT imaging showed a huge retroperitoneal hematoma of 7 × 23 × 25 cm (Fig. 1) and an aneurysm of the IMA about 2 cm from its origin resulting in concurrent occlusion of superior mesenteric and celiac arteries (Fig. 2).

Results

Conclusion