Spontaneous hemoperitoneum from a ruptured mesenteric branch arterial aneurysm: Report of a case

Abstract

We report a case of spontaneous intraperitoneal hemorrhage from a ruptured mesenteric branch artery aneurysm in a patient presenting with syncope. A 54-year-old woman was brought to our emergency department as a medical code, following two syncopal episodes. Computed tomography, carried out to rule out aortic aneurysmal disease, revealed hemoperitoneum without evidence of solid organ injury. Emergency exploratory laparotomy revealed a large jejunal mesenteric hematoma accompanying a ruptured mesenteric branch artery aneurysm with active extravasation. We ligated and excised the lesion and diagnosis was confirmed on final pathologic examination. We report this case because general surgeons should be aware of these vascular lesions and the basic guidelines for treatment.

Endovascular embolization of a third jejunal artery aneurysm: Isolation technique using the amplatzer vascular plug 4

“…Major etiologies of JA aneurysm are atherosclerosis, fibrodysplasia, segmental arterial mediolysis, connective tissue disorders, trauma, inflammatory causes, and infections . The elderly age of the patient, the history of smoking and chronic hypertension, and the concomitant presence of AAA have suggested that atherosclerosis has been the etiology of the saccular aneurysm of the third JA in our case.…”

“…However, the number of incidental diagnosis of SMA branches has become more frequent, due to the increased use of MDCT . The incidence of JA aneurysm is not gender‐related and it is most prevalent among elderly individuals .…”

“…Nowadays, endovascular treatment becomes the first‐line method of treating almost all visceral aneurysm with high success rates, and low morbidity and mortality . Several techniques with various embolic agents, for endovascular treatment of visceral artery aneurysms and pseudoaneurysms, have been reported in literature . We report a case of saccular aneurysm of the third JA treated with endovascular embolization using the Amplatzer Vascular Plug 4 (AVP 4) (St. Jude Medical, St. Paul, MN) with the isolation technique.…”

Idiopathic spontaneous haemoperitoneum due to a ruptured middle colic artery aneurysm

“…Helical Computerized Tomography is particularly useful as it can detect smaller vascular lesions. 14 Angiography has been suggested as the gold standard for diagnosing and localizing these lesions, allowing an evaluation of collateral blood flow in case of obstruction of major splachnic arteries, 6,8,14 providing helpful information in the decision for bowel resection, and facilitating surgical exploration. 4 Intraoperative angiography has also been suggested by McNamara and Griska.…”

Ruptured ileocolic artery aneurysm: An unusual cause of hemoperitoneum

“…[1] Since it is characterized by nonspecific clinical manifestations, aneurysm in this uncommon location is usually diagnosed following complications, including rupture, some of which result in death. This report describes the case of a middle aged man with a ruptured superior mesenteric artery (SMA) branch aneurysm.…”