Visceral Artery Aneurysms: Experience in a Tertiary-Care Center

Hossain, Azhar; Reis, Ernane D.; Dave, Sandeep P.; Kerstein, Morris D.; Hollier, Larry H.

doi:10.1177/000313480106700510

Cited by 106 publications

(4 citation statements)

References 31 publications

(3 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4 ), which is a relatively rare condition. Its reported prevalence is approximately 1% in the total population, and it is found in 0.01–0.2% of autopsy cases, most of which are detected following rupture [ 30 , 31 ]. Although the increased risk of bleeding could be related to endothelial dysfunction, coagulopathy or disseminated intravascular coagulation in COVID-19, the risk of bleeding in patients with mild COVID-19 was not reported to increase [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

A descriptive study of abdominal complications in patients with mild COVID-19 presenting to the emergency department: a single-center experience in Japan during the omicron variant phase

et al. 2023

View full text Add to dashboard Cite

Background COVID-19 is widely known to induce a variety of extrapulmonary manifestations. Gastrointestinal symptoms have been identified as the most common extra-pulmonary manifestations of COVID-19, with an incidence reported to range from 3 to 61%. Although previous reports have addressed abdominal complications with COVID-19, these have not been adequately elucidated for the omicron variant. The aim of our study was to clarify the diagnosis of concomitant abdominal diseases in patients with mild COVID-19 who presented to hospital with abdominal symptoms during the sixth and seventh waves of the pandemic of the omicron variant in Japan. Methods This study was a retrospective, single-center, descriptive study. In total, 2291 consecutive patients with COVID-19 who visited the Department of Emergency and Critical Care Medicine, Kansai Medical University Medical Center, Osaka, Japan, between January 2022 and September 2022 were potentially eligible for the study. Patients delivered by ambulance or transferred from other hospitals were not included. We collected and described physical examination results, medical history, laboratory data, computed tomography findings and treatments. Data collected included diagnostic characteristics, abdominal symptoms, extra-abdominal symptoms and complicated diagnosis other than that of COVID-19 for abdominal symptoms. Results Abdominal symptoms were present in 183 patients with COVID-19. The number of patients with each abdominal symptom were as follows: nausea and vomiting (86/183, 47%), abdominal pain (63/183, 34%), diarrhea (61/183, 33%), gastrointestinal bleeding (20/183, 11%) and anorexia (6/183, 3.3%). Of these patients, 17 were diagnosed as having acute hemorrhagic colitis, five had drug-induced adverse events, two had retroperitoneal hemorrhage, two had appendicitis, two had choledocholithiasis, two had constipation, and two had anuresis, among others. The localization of acute hemorrhagic colitis was the left-sided colon in all cases. Conclusions Our study showed that acute hemorrhagic colitis was characteristic in mild cases of the omicron variant of COVID-19 with gastrointestinal bleeding. When examining patients with mild COVID-19 with gastrointestinal bleeding, the potential for acute hemorrhagic colitis should be kept in mind.

show abstract

Section: Discussionmentioning

confidence: 99%

A descriptive study of abdominal complications in patients with mild COVID-19 presenting to the emergency department: a single-center experience in Japan during the omicron variant phase

et al. 2023

View full text Add to dashboard Cite

show abstract

“…The splenic artery is the most commonly involved. Gastroduodenal artery pseudoaneurysm is the second most commonly encountered, even though its involvement is very rare overall [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Giant Abdominal Pseudoaneurysm Secondary to Recurrent Pancreatitis: Imaging and Endovascular Intervention

Shelar¹,

Dhande²,

Nagendra³

et al. 2022

Cureus

View full text Add to dashboard Cite

Chronic or necrotizing pancreatitis is characterized by repeated inflammation of the pancreas, leading to multiple complications, a few of which are vascular, such as splanchnic venous thrombosis and arterial pseudoaneurysms. Even though the frequency of pseudoaneurysm formation in patients with pancreatitis is as high as 10%, there is not much importance given to its management in the radiologic literature. The splenic artery is the most common visceral artery affected by pseudoaneurysms, followed by the gastroduodenal and pancreaticoduodenal arteries. Usually, pseudoaneurysms occur due to the erosion of a peripancreatic or pancreatic artery into a pseudocyst, but this can also occur without the development of a pseudocyst. Pseudoaneurysms may be asymptomatic (usually the ones less than 5 cm), but some of them may pose a threat due to spontaneous rupture and subsequent fistulization into other organs. Therefore, early diagnosis and management are of prime importance. Here, in this article, we present a case of pseudoaneurysm of the gastroduodenal artery with characteristic imaging features and preferred, recent techniques of management.

show abstract

“…Abdominal VAAs have an incidence of about 0.01 to 2%. 3 SAA is the most frequent among them, occurring in about 50 to 75% of the reported VAAs. 3,4 The risk factors for SAA include portal hypertension, female hormones such as estrogen, and severe flexion.…”

Section: Discussionmentioning

confidence: 99%

“…3 SAA is the most frequent among them, occurring in about 50 to 75% of the reported VAAs. 3,4 The risk factors for SAA include portal hypertension, female hormones such as estrogen, and severe flexion. 5 It was observed that SAAs are four times more frequent in women.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Stent Graft Placement and Coil Embolization for Splenic Artery Aneurysm with an Anatomical Variant

et al. 2022

View full text Add to dashboard Cite

A 62-year-old woman with abdominal pain was diagnosed with a splenic artery aneurysm (SAA) and an anatomical variant in the splenic artery (SA) arising from the superior mesenteric artery (SMA) as its first branch. To treat the SAA, the draining artery and a small branch of the SAA were embolized, and then small-diameter stent grafts were deployed from SMA orifice, covering the aberrant origin of the SA and preserving the second branch of SMA. Intraoperative angiography confirmed successful exclusion of the SAA without endoleak or arterial dissection. The stent graft was patent and the aneurysm had shrunk 3.5 years after the operation.

show abstract

Visceral Artery Aneurysms: Experience in a Tertiary-Care Center

Cited by 106 publications

References 31 publications

A descriptive study of abdominal complications in patients with mild COVID-19 presenting to the emergency department: a single-center experience in Japan during the omicron variant phase

A descriptive study of abdominal complications in patients with mild COVID-19 presenting to the emergency department: a single-center experience in Japan during the omicron variant phase

Giant Abdominal Pseudoaneurysm Secondary to Recurrent Pancreatitis: Imaging and Endovascular Intervention

Endovascular Stent Graft Placement and Coil Embolization for Splenic Artery Aneurysm with an Anatomical Variant

Contact Info

Product

Resources

About