Delayed Gastrointestinal Bleeding from Traumatic Superior Mesenteric Artery Pseudoaneurysm.
- Author:
Kwang Sik KIM
1
;
Weon Young CHANG
;
Chang Hyun LEE
;
Kuk Myung CHOI
;
Kyu Hee HER
Author Information
1. Department of Surgery, College of Medicine, Cheju National University and Cheju National University Hospital, Jeju, Korea. herkh@cheju.ac.kr
- Publication Type:Case Report
- Keywords:
Superior mesenteric artery pseudoaneurysm;
Delayed gastrointestinal bleeding;
Blunt abdominal trauma
- MeSH:
Aneurysm;
Aneurysm, False*;
Angiography;
Early Diagnosis;
Emergencies;
Hemorrhage*;
Humans;
Male;
Mesenteric Artery, Superior*;
Shock;
Tomography, X-Ray Computed;
Young Adult
- From:Journal of the Korean Surgical Society
2004;66(6):523-525
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute onset of shock presented in a 23 years old male patient due to gastrointestinal bleeding. He had been in a car crash 49 days before presentation. On initial presentation, a small amount of intraperitoneal hemorrhage had been seen on a CT scan. An emergency selective superior mesenteric artery (SMA) arteriography revealed a pseudoaneurysm in the branch of SMA, but successive embolization of the terminal branch controlled the bleeding. It is hard to initially diagnose an aneurysm as the cause of spontaneous gastrointestinal bleeding in a patient that has suffered an abdominal trauma, so it poses a therapeutic challenge. Recognition of an aneurysm, and its early diagnosis based on the patient's past history, and its adoption as a judicious diagnostic tool are essential in the management of such patients.
