Endovascular Treatment of Proximal Superior Mesenteric Artery Pseudoaneurysm after Stab Injury / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 354-357, 2015.
Artigo
em Inglês
| 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:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Estômago
/
Ferimentos Perfurantes
/
Prótese Vascular
/
Angiografia
/
Seguimentos
/
Mortalidade
/
Artéria Mesentérica Superior
/
Falso Aneurisma
/
Emergências
/
Procedimentos Endovasculares
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
The Korean Journal of Critical Care Medicine
Ano de publicação:
2015
Tipo de documento:
Artigo
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