Visceral Aneurysm Complicated by Hemorrhagic Shock Secondary to a Mesenteric-Enteric Fistula

Maria del Pilar Gutierrez Delgado*, Laura Romacho L

Department of General Surgery, Regional Hospital of Malaga, Spain

^*Correspondance to: Maria del Pilar Gutierrez Delgado 

 PDF  Full Text DOI: 10.25107/2474-1647.3151

Abstract

Background: There is a high mortality rate for aneurysms of the superior mesenteric artery, which account for 5.5% of visceral aneurysms. Case Report: We present the case of a 62-year-old woman diagnosed in our center with an aneurysm of a jejunal branch of the superior mesenteric artery, treated with an endovascular stent, who consulted in the emergency department for hypovolemic shock secondary to rupture of the aneurysm, associated with a mesenteric-enteric fistula that required extremely urgent surgery. In this operation, the first jejunal loop was resected and the neck of the aneurysm of the 1st jejunal branch was sutured after removal of the previous stent. The postoperative course was torpid and marked by an anastomotic leak. Conclusion: Aneurysms of the superior mesenteric artery are a rare pathology, with regard to diagnosis, this type of pathology is often silent but potentially lethal due to the high risk of rupture. Nowadays, we have different approaches to treat these lesions, individualizing the treatment according to each patient.

Keywords

Visceral aneurysm; Open surgery; Endovascular treatment

Cite the article

del Pilar Gutierrez Delgado M, Romacho Lopez L, Miron Fernondez I, Custodia Montiel Casado M, Santoyo Santoyo J. Visceral Aneurysm Complicated by Hemorrhagic Shock Secondary to a Mesenteric-Enteric Fistula. Clin Surg. 2021; 6: 3151..