Multiple Visceral Artery Aneurysms: An Uncommon Manifestation of Antineutrophil Cytoplasmic Antibody Vasculitis.

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.

Endovascular Treatment of 2 True Degenerative Aneurysms of Superficial Femoral Arteries.

We report the rare observation of a 58-year-old patient presenting 2 degenerative aneurysms of the superficial femoral arteries, with a rupture of the right aneurysm, treated by covered stents, with a satisfying midterm follow-up. The endovascular approach is a minimally invasive procedure which should be proposed as the first-line treatment to all the patients presenting aneurysms of the superficial femoral arteries, both asymptomatic as complicated.

Munchausen syndrome revealed by subcutaneous limb emphysema: a case report.

INTRODUCTION: Limb subcutaneous emphysema secondary to a Munchausen syndrome represents a rare and severe entity because it involves the functional prognosis of the limb and vital prognosis of the patient. CASE PRESENTATION: We report the case of an 18-year-old Moroccan woman patient who presented to our hospital with a subcutaneous emphysema of the shoulder girdle and the right arm, caused by our patient. Treatment was aggressive, with a wide surgical debridement, parenteral antibiotic therapy and hyperbaric oxygen therapy. The results have been favorable. CONCLUSIONS: The correlation of anamnestic data and clinical and para-clinical exams were essential for the diagnosis of Munchausen syndrome in this case. In this regard, we report a rare case of subcutaneous limb emphysema secondary to Munchausen syndrome.

Acute systemic embolism due to an idiopathic floating thrombus of the thoracic aorta: success of medical management: a case report.

BACKGROUND: Idiopathic thoracic aortic mural thrombi are rare. They can be responsible for dramatic systemic embolization. Early treatment is imperative because of their high morbidity and mortality rate. CASE PRESENTATION: A 55-year-old previously healthy Moroccan male came in an array of acute right lower limbs pain and abdominal sensibility. Severe systemic embolism involving the lower extremities, spleen, kidney, and digestive tract, due to an idiopathic mural thrombus of the thoracic aorta was diagnosed. He received medical treatment leading to the complete disappearance of the thrombus and the effects caused by the latter. CONCLUSIONS: When faced unexplained peripheral embolization, research for a thrombus of the thoracic aorta should be performed. Medical treatment should be considered for its management, especially in patients with high surgical risk.

Late complication of a femoral monitoring catheter: a case of femoral false aneurysm treated surgically.

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.