Endovascular Treatment of Proximal Superior Mesenteric Artery Pseudoaneurysm after Stab Injury / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 354-357, 2015.
Article
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Estomac
/
Plaies par arme blanche
/
Prothèse vasculaire
/
Angiographie
/
Études de suivi
/
Mortalité
/
Artère mésentérique supérieure
/
Faux anévrisme
/
Urgences
/
Procédures endovasculaires
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
The Korean Journal of Critical Care Medicine
Année:
2015
Type:
Article
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