Two Cases of Superior Mesenteric Artery Aneurysms.
- Author:
Jun Ho PARK
1
;
Sook Hyun LEE
;
Samuel LEE
;
Chul Jae PARK
Author Information
1. Department of Surgery, Hallym University College of Medicine, Seoul, Korea. slee@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Superior mesenteric artery;
Aneurysm;
Treatment
- MeSH:
Accidents, Traffic;
Adult;
Aneurysm*;
Aneurysm, Infected;
Atherosclerosis;
Back Pain;
Endocarditis;
Female;
Hemoperitoneum;
Humans;
Male;
Mesenteric Artery, Superior*;
Necrosis;
Rare Diseases;
Rupture;
Shock;
Thrombosis
- From:Journal of the Korean Society for Vascular Surgery
2006;22(2):124-127
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Aneurysms of the superior mesenteric artery (SMA) are very rare disease entities. The etiology of a visceral aneurysm includes a bacterial aneurysm due to an infected thrombus from endocarditis (60%). The other causes are atherosclerosis, arterial endometrial necrosis, trauma, polyarteritis nodosum etc. Some aneurysms are diagnosed coincidently but most are discovered by the development of hypovolemic shock due to aneurysmal rupture. Approximately 30% of the patients are at risk of rupture and require surgical management. We report two cases of SMA aneurysms, a 44-year-old male patient who complained of abdominal and back pain and a 42-year-old female who developed a SMA aneurysm postoperatively after undergoing surgery for hemoperitoneum due to a traffic accident. The first patient was treated surgically and the latter was treated conservatively.
