Abstract

A 37 year old woman with a history of blunt abdominal trauma during childhood complained of epigastric pain. At that time, computed tomography (CT) and selective angiography (A) revealed a 10 cm unruptured aneurysm of the superior mesenteric artery (asterisk; A). The aneurysm was resected and replaced by a great saphenous vein bypass. The colour of the bowel did not improve, so a reinforced 6 mm polytetrafluoroethylene graft was used. Aspirin was discontinued after one year and the patient was lost to follow up. After 32 years, when the patient was 69 years old, the CT scan showed a patent prosthetic bypass (white arrows; B).Image 1

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