Endovascular Treatment of Proximal Superior Mesenteric Artery Pseudoaneurysm after Stab Injury / 대한구급학회지
The Korean Journal of Critical Care Medicine
; : 354-357, 2015.
Article
in En
| WPRIM
| ID: wpr-770893
Responsible library:
WPRO
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.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Stomach
/
Wounds, Stab
/
Blood Vessel Prosthesis
/
Angiography
/
Follow-Up Studies
/
Mortality
/
Mesenteric Artery, Superior
/
Aneurysm, False
/
Emergencies
/
Endovascular Procedures
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Humans
Language:
En
Journal:
The Korean Journal of Critical Care Medicine
Year:
2015
Document type:
Article