ABSTRACT
The antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis mainly affect small vessels. They are an exceptional etiology of visceral artery aneurysms, which are themselves unusual and potentially serious vascular disease. We report the case of a patient followed for vasculitis associated with ANCA with kidney disease who presented with symptomatic aneurysm of the inferior mesenteric artery and aneurysm of the superior mesenteric artery.
Subject(s)
Aneurysm/etiology , Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis/complications , Mesenteric Artery, Inferior , Mesenteric Artery, Superior , Aged , Aneurysm/diagnostic imaging , Aneurysm/surgery , Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis/diagnosis , Biopsy , Computed Tomography Angiography , Female , Humans , Ligation , Mesenteric Artery, Inferior/diagnostic imaging , Mesenteric Artery, Inferior/surgery , Mesenteric Artery, Superior/diagnostic imaging , Mesenteric Artery, Superior/surgery , Treatment Outcome , Ultrasonography, Doppler, Color , Ultrasonography, Doppler, Pulsed , Vascular Surgical ProceduresABSTRACT
INTRODUCTION: The association of bowel tumor and inguinal hernia is rare. We report according to our research the first case of the migration of a small bowel schwannoma into an inguinal hernia. CASE PRESENTATION: We report the case of a 51-year-old Moroccan malen admitted for a non-reducible right inguinal hernia in which surgical exploration showed the presence of a small bowel tumor that had migrated into his hernia sac. A histopathological examination of the tumor was in favor of a small bowel schwannoma. CONCLUSION: Small bowel schwannoma is an exceptional clinical entity for which the diagnosis is difficult; its confirmation needs histological and immunohistochemical studies.
Subject(s)
Hernia, Inguinal/complications , Ileal Neoplasms/diagnosis , Neurilemmoma/diagnosis , Humans , Ileal Neoplasms/complications , Male , Middle Aged , Neurilemmoma/complicationsABSTRACT
Femoral false aneurysms are rare. They are one of the main complications of femoral catheterization, trauma of this area, or the use of intravenous drugs. They usually occur in the days after femoral puncture, and only rarely occur years after the procedure or incident. Treatment often requires complex surgical methods. We report the management of a patient with a ruptured infected femoral false aneurysm that was diagnosed 4 years after a femoral puncture performed in intensive care unit to perform peripheral arterial catheter hemodynamic monitoring. The patient was operated with exclusion of the aneurysm and prosthetic bypass, associated with intravenous antibiotics adapted to the bacterial strain grown from the operative site, which resulted in a favorable outcome.
