Endovascular Treatment of Proximal Superior Mesenteric Artery Pseudoaneurysm after Stab Injury.
10.4266/kjccm.2015.30.4.354
- Author:
Dong Hun KIM
;
Young Wook KIM
;
Kwang Bo PARK
- Publication Type:Case Report
- Keywords:
endovascular procedure;
superior mesenteric artery;
trauma
- MeSH:
Aneurysm, False*;
Angiography;
Blood Vessel Prosthesis;
Emergencies;
Endovascular Procedures;
Follow-Up Studies;
Hematoma;
Humans;
Hypotension;
Laparotomy;
Mesenteric Artery, Superior*;
Middle Aged;
Mortality;
Stomach;
Wounds, Stab
- From:Korean Journal of Critical Care Medicine
2015;30(4):354-357
- CountryRepublic of Korea
- Language:English
-
Abstract:
Superior mesenteric artery (SMA) injuries remain a challenge to most trauma surgeons and continue to result in significant mortality despite aggressive management. We report successful management of a proximal SMA injury through endovascular treatment in a 56-year-old man. The patient presented with hypotension due to a stab wound after the epigastrium. He underwent emergency laparotomy and repair of the penetrated wall of the stomach. Right retroperitoneal hematoma at the initial laparotomy expanded and ruptured, requiring a massive transfusion. At the second laparotomy, we performed lateral arteriorrhaphy of the proximal SMA. Follow-up abdominal computed tomography angiography on post-injury day 7 showed a pseudoaneurysm on the left side of the SMA trunk. The patient was treated successfully with an endovascular stent graft.
