Endovascular Treatment of Proximal Superior Mesenteric Artery Pseudoaneurysm after Stab Injury / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 354-357, 2015.
Artículo
en Inglés
| WPRIM
| ID: wpr-770893
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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Estómago
/
Heridas Punzantes
/
Prótesis Vascular
/
Angiografía
/
Estudios de Seguimiento
/
Mortalidad
/
Arteria Mesentérica Superior
/
Aneurisma Falso
/
Urgencias Médicas
/
Procedimientos Endovasculares
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
The Korean Journal of Critical Care Medicine
Año:
2015
Tipo del documento:
Artículo
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