Color Doppler sonography for preoperative diagnosis of an aneurysm of the ileal branch of the superior mesenteric artery.
Aneurysms of the superior mesenteric artery are uncommon, and aneurysms of its branches occur even less frequently. We report the case of a 60-year-old man with an aneurysm of the ileal branch of the superior mesenteric artery whose initial symptom was abdominal pain. Gray-scale and color Doppler sonography provided noninvasive, accurate preoperative identification of the aneurysm despite its uncommon location, a small branch of the superior mesenteric artery. CT and conventional and magnetic resonance angiography confirmed the sonographic diagnosis. The aneurysm was resected successfully, and the patient's postoperative course was uneventful. Although angiography is required for a definitive diagnosis and for surgical planning, sonography is a useful tool for preoperative evaluation and diagnosis of such aneurysms.
Chiu
Han-Mo
HM
Department of Internal Medicine, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei 10016, Taiwan.
Wang
Hsiu-Po
HP
Lin
Ming-Tsan
MT
Lee
Yi-Chia
YC
Wu
Ming-Shiang
MS
Lin
Jaw-Town
JT
D000783:Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging*; D008875:Middle Aged; D011860:Radiography, Abdominal; D018615:Ultrasonography, Doppler, Color; D018084:Ultrasonography, Interventional