Endovascular Treatment of Proximal Superior Mesenteric Artery Pseudoaneurysm after Stab Injury / 대한중환자의학회지
Korean Journal of Critical Care Medicine
;
: 354-357, 2015.
Article
in English
| WPRIM
| ID: wpr-103186
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Stomach
/
Wounds, Stab
/
Blood Vessel Prosthesis
/
Angiography
/
Follow-Up Studies
/
Mortality
/
Mesenteric Artery, Superior
/
Aneurysm, False
/
Emergencies
/
Endovascular Procedures
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Korean Journal of Critical Care Medicine
Year:
2015
Type:
Article
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