Ruptured aneurysm of the visceral artery: report of two cases.
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 pseudo-aneurysm 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.
Matsuo
S
S
Department of Surgery, Nagasaki Prefectural Shimabara Onsen Hospital, Japan.
Yamaguchi
S
S
Miyamoto
S
S
Ishii
T
T
Tsuneoka
N
N
Obata
S
S
Hayashi
T
T
Kanematsu
T
T
D000006:Abdomen, Acute / Q000209:etiology; D000368:Aged; D017541:Aneurysm, False / Q000473:pathology*; D017542:Aneurysm, Ruptured / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D003106:Colon / Q000098:blood supply*; D024405:Gastroepiploic Artery / Q000473:pathology; D006406:Hematoma / Q000473:pathology; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging; D011859:Radiography