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Published in: World Journal of Emergency Surgery 1/2010

Open Access 01-12-2010 | Case report

Endovascular treatment of a Superior Mesenteric Artery Syndrome variant secondary to traumatic pseudoaneurysm

Authors: Iain Au-Yong, Nicholas FS Watson, Catherine L Boereboom, Timothy E Bowling, John F Abercrombie, Simon C Whitaker

Published in: World Journal of Emergency Surgery | Issue 1/2010

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Abstract

Pseudoaneurysms related to the superior mesenteric artery (SMA) are a recognised complication of trauma to the vessel, and successful treatment with stenting has been previously described. We report the case of a patient who presented with obstruction of the fourth part of the duodenum secondary to a traumatic pseudoaneurysm, a hitherto unreported variant of superior mesenteric artery syndrome. Exclusion of the pseudoaneurysm and relief of the duodenal obstruction were simultaneously achieved by placement of a covered stent.
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Literature
1.
go back to reference Tulsyan N, Kashyap VS, Greenberg RK, et al.: The endovascular management of visceral artery aneurysms and pseudoaneurysms. J Vasc Surg. 2007, 45 (2): 276-83. 10.1016/j.jvs.2006.10.049.CrossRefPubMed Tulsyan N, Kashyap VS, Greenberg RK, et al.: The endovascular management of visceral artery aneurysms and pseudoaneurysms. J Vasc Surg. 2007, 45 (2): 276-83. 10.1016/j.jvs.2006.10.049.CrossRefPubMed
2.
go back to reference Kutlu R, Ara C, Sarac K: Bare stent implantation in iatrogenic dissecting pseudoaneurysm of the superior mesenteric artery. Cardiovasc Intervent Radiol. 2007, 30 (1): 121-3. 10.1007/s00270-005-0392-6.CrossRefPubMed Kutlu R, Ara C, Sarac K: Bare stent implantation in iatrogenic dissecting pseudoaneurysm of the superior mesenteric artery. Cardiovasc Intervent Radiol. 2007, 30 (1): 121-3. 10.1007/s00270-005-0392-6.CrossRefPubMed
3.
go back to reference Wallace MJ, Choi E, McRae S, Madoff DC, Ahrar K, Pisters P: Superior mesenteric artery pseudoaneurysm following pancreaticoduodenectomy: management by endovascular stent-graft placement and transluminal thrombin injection. Cardiovasc Intervent Radiol. 2007, 30 (3): 518-522. 10.1007/s00270-006-0109-5.CrossRefPubMed Wallace MJ, Choi E, McRae S, Madoff DC, Ahrar K, Pisters P: Superior mesenteric artery pseudoaneurysm following pancreaticoduodenectomy: management by endovascular stent-graft placement and transluminal thrombin injection. Cardiovasc Intervent Radiol. 2007, 30 (3): 518-522. 10.1007/s00270-006-0109-5.CrossRefPubMed
4.
go back to reference Ray B, Kuhan G, Johnson B, Nicholson AA, Ettles DF: Superior mesenteric artery pseudoaneurysm associated with celiac axis occlusion treated using endovascular techniques. Cardiovasc Intervent Radiol. 2006, 29 (5): 886-9. 10.1007/s00270-004-0113-6.CrossRefPubMed Ray B, Kuhan G, Johnson B, Nicholson AA, Ettles DF: Superior mesenteric artery pseudoaneurysm associated with celiac axis occlusion treated using endovascular techniques. Cardiovasc Intervent Radiol. 2006, 29 (5): 886-9. 10.1007/s00270-004-0113-6.CrossRefPubMed
5.
go back to reference Tsai HY, Yang TL, Wann SR, Yen MY, Chang HT: Successful angiographic stent-graft treatment for spontaneously dissecting broad-base pseudoaneurysm of the superior mesenteric artery. J Chin Med Assoc. 2005, 68 (8): 397-400. 10.1016/S1726-4901(09)70183-2.CrossRefPubMed Tsai HY, Yang TL, Wann SR, Yen MY, Chang HT: Successful angiographic stent-graft treatment for spontaneously dissecting broad-base pseudoaneurysm of the superior mesenteric artery. J Chin Med Assoc. 2005, 68 (8): 397-400. 10.1016/S1726-4901(09)70183-2.CrossRefPubMed
6.
go back to reference Szopinski P, Ciostek P, Pleban E, Iwanowski J, Serafin-Krol M, Marionawska A, Noszczyk W: Percutaneous thrombin injection to complete SMA pseudoaneurysm exclusion after failing of endograft placement. Cardiovasc Intervent Radiol. 2005, 28 (4): 509-14. 10.1007/s00270-004-0160-z.CrossRefPubMed Szopinski P, Ciostek P, Pleban E, Iwanowski J, Serafin-Krol M, Marionawska A, Noszczyk W: Percutaneous thrombin injection to complete SMA pseudoaneurysm exclusion after failing of endograft placement. Cardiovasc Intervent Radiol. 2005, 28 (4): 509-14. 10.1007/s00270-004-0160-z.CrossRefPubMed
7.
go back to reference Huang YK, Tseng CN, Hseih HC, Ko PJ: Aortic valve endocarditis presents as pseudoaneurysm of the superior mesenteric artery. Int J Clin Pract. 2005, 59 (Suppl 147): 6-8. 10.1111/j.1368-504X.2005.00381.x.CrossRef Huang YK, Tseng CN, Hseih HC, Ko PJ: Aortic valve endocarditis presents as pseudoaneurysm of the superior mesenteric artery. Int J Clin Pract. 2005, 59 (Suppl 147): 6-8. 10.1111/j.1368-504X.2005.00381.x.CrossRef
8.
go back to reference Gandini R, Pipitone V, Konda D, Pendenza G, Spinelli A, Stefanini M, Simonetti G: Endovascular treatment of a giant superior mesenteric artery pseudoaneurysm using a nitinol stent-graft. Cardiovasc Intervent Radiol. 2005, 28 (1): 102-6. 10.1007/s00270-004-0007-7.CrossRefPubMed Gandini R, Pipitone V, Konda D, Pendenza G, Spinelli A, Stefanini M, Simonetti G: Endovascular treatment of a giant superior mesenteric artery pseudoaneurysm using a nitinol stent-graft. Cardiovasc Intervent Radiol. 2005, 28 (1): 102-6. 10.1007/s00270-004-0007-7.CrossRefPubMed
9.
go back to reference Lippl F, Hannig C, Weiss W, Allescher HD, Classen M, Kurjak M: Superior mesenteric artery syndrome: diagnosis and treatment from the gastroenterologist's view. J Gastroenterol. 2002, 37 (8): 640-3. 10.1007/s005350200101.CrossRefPubMed Lippl F, Hannig C, Weiss W, Allescher HD, Classen M, Kurjak M: Superior mesenteric artery syndrome: diagnosis and treatment from the gastroenterologist's view. J Gastroenterol. 2002, 37 (8): 640-3. 10.1007/s005350200101.CrossRefPubMed
10.
go back to reference Deitch JS, Heller JA, McCagh D, D'Avala M, Kent KC, Plonk GW, Hansen KJ, Liguish J: Abdominal aortic aneurysm causing duodenal obstruction: two case reports and review of the literature. J Vasc Surg. 2004, 40 (3): 543-7. 10.1016/j.jvs.2004.04.028.CrossRefPubMed Deitch JS, Heller JA, McCagh D, D'Avala M, Kent KC, Plonk GW, Hansen KJ, Liguish J: Abdominal aortic aneurysm causing duodenal obstruction: two case reports and review of the literature. J Vasc Surg. 2004, 40 (3): 543-7. 10.1016/j.jvs.2004.04.028.CrossRefPubMed
11.
go back to reference Rappaport WD, Hunter GC, McIntye KE, Ballard JL, Malone JM, Putnam CW: Gastric outlet obstruction caused by traumatic pseudoaneurysm of superior mesenteric artery. Surgery. 1990, 108 (5): 930-2.PubMed Rappaport WD, Hunter GC, McIntye KE, Ballard JL, Malone JM, Putnam CW: Gastric outlet obstruction caused by traumatic pseudoaneurysm of superior mesenteric artery. Surgery. 1990, 108 (5): 930-2.PubMed
12.
go back to reference Applegate GR, Cohen AJ: Dynamic CT in superior mesenteric artery syndrome. J Comput Assist Tomogr. 1988, 12: 976-80. 10.1097/00004728-198811000-00013.CrossRefPubMed Applegate GR, Cohen AJ: Dynamic CT in superior mesenteric artery syndrome. J Comput Assist Tomogr. 1988, 12: 976-80. 10.1097/00004728-198811000-00013.CrossRefPubMed
13.
go back to reference Sier MF, Van Sambeek MR, Hendriks JM, et al.: Shrinkage of abdominal aortic aneurysm after successful endovascular repair: results from single center study. J Cardiovasc Surg (Torino). 2006, 47 (5): 557-61. Sier MF, Van Sambeek MR, Hendriks JM, et al.: Shrinkage of abdominal aortic aneurysm after successful endovascular repair: results from single center study. J Cardiovasc Surg (Torino). 2006, 47 (5): 557-61.
Metadata
Title
Endovascular treatment of a Superior Mesenteric Artery Syndrome variant secondary to traumatic pseudoaneurysm
Authors
Iain Au-Yong
Nicholas FS Watson
Catherine L Boereboom
Timothy E Bowling
John F Abercrombie
Simon C Whitaker
Publication date
01-12-2010
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2010
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/1749-7922-5-7

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