Abdominal Pain Resulting from Acute Thrombosis of A Superior Mesenteric Artery Mycotic Aneurysm A Case Report
نویسندگان
چکیده
A 35-year-old man was admitted complaining of periumbilical pain for 3 days. On physical examination, a pulsatile mass was palpable in the left upper abdomen. There were no significant peritoneal signs. Abdominal CT revealed an aneurysm containing a thrombus in the proximal superior mesenteric artery. At surgery, there was no intestinal perforation or gangrene. The aneurysm was replaced with a synthetic prosthesis. Pathology examination showed inflammation compatible with a mycotic aneurysm, although cultures of the resected aneurysm had no growth. We think the patient’s pain was most likely caused by bowel ischemia secondary to acute thrombosis of the superior mesentery artery mycotic aneurysm.
منابع مشابه
Antibiotic therapy did not prevent the rupture of mycotic aneurysm of the superior mesenteric artery.
Mycotic aneurysm of the superior mesenteric artery (SMA) is a rare complication of infective endocarditis. We report a case with infective endocarditis involving the aortic valve complicated by multiple septic embolisms. The patient was treated with antibiotics for 6 weeks. During preparation for surgical treatment, the patient developed acute abdominal pain and was diagnosed with a ruptured SM...
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