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- Title
Endovascular Treatment of Proximal Superior Mesenteric Artery Pseudoaneurysm after Stab Injury.
- Authors
Dong Hun Kim; Young-Wook Kim; Kwang Bo Park
- 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.
- Subjects
SUPERIOR mesenteric artery syndrome; ENDOVASCULAR surgery; RETROPERITONEUM diseases
- Publication
Korean Journal of Critical Care Medicine (2383-4870), 2015, Vol 30, Issue 4, p354
- ISSN
2383-4870
- Publication type
Case Study
- DOI
10.4266/kjccm.2015.30.4.354