Ruptured aneurysm of the visceral artery: report of two cases |
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| Authors: | Matsuo S Yamaguchi S Miyamoto S Ishii T Tsuneoka N Obata S Hayashi T Kanematsu T |
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| Institution: | (1) Departments of Surgery,,;(2) Radiology, and,;(3) Pathology, Nagasaki Prefectural Shimabara Onsen Hospital, 7895 Shimokawajiri, Shimabara, Nagasaki 855-0861, Japan, JP;(4) Department of Surgery II, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan, JP |
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| Abstract: | We present herein two cases of a ruptured aneurysm of the visceral artery. The first case involved a 74-year-old man with
abdominal pain who was admitted to our hospital with a tentative diagnosis of intra-abdominal bleeding of unknown origin.
Computed tomography revealed a hematoma in the greater curvature of the stomach. At surgery, a hematoma along the right gastroepiploic
artery was found and totally removed. Histological examination showed a pseudoaneurysm of unknown etiology. The second case
involved a 68-year-old man with progressive anemia who presented with spontaneous intra-abdominal bleeding. A ruptured aneurysm
of the accessory middle colic artery was diagnosed by superior mesenteric angiography. The ruptured aneurysm was ligated and
totally resected without a colectomy. Histological examination showed a pseudoaneurysm of unknown etiology. The postoperative
courses were uneventful, and both patients were doing well at the time of writing.
Received: March 13, 2000 / Accepted: November 20, 2000 |
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| Keywords: | Viscera Artery Aneurysm |
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