Abstract
A 61 year-old man was referred to our radiology departmant for abdominal multi dedector computed tomography (MDCT) evaluation because of undefined abdominal discomfort. Patients’s medical history was unremarkable. Contrast enhanced MDCT scans revealed a round mass of 5 cm axis in the mesentary fat plans, close to inferior portion of the gastric antrum including cresent shaped hypodens area and 2 × 3 cm sized hyperdense area (Fig. A). MIP and curved MPR scans revealed that, the mass is a true sacculary aneurysm at the midportion of the right gastro epiploic artery (Fig. B, C). The aneursym with true lumen of 2 × 3 cm size, includes crescent shaped thrombus formation.
Highlights
MIP and curved MPR scans revealed that, the mass is a true sacculary aneurysm at the midportion of the right gastroepiploic artery
Splanchnic artery aneurysms are very rare and important to recognize because up to 25% may be complicated by rupture, and the mortality rate after rupture is between 25% and 70% (1)
Splanchnic artery aneurysms were traditionally diagnosed with catheter angiography
Summary
MIP and curved MPR scans revealed that, the mass is a true sacculary aneurysm at the midportion of the right gastroepiploic artery. (Fig. B, C).The aneursym with true lumen of 2 × 3 cm size, includes crescent shaped thrombus formation. The patient was referred to surgery but follow-up failed.
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