title: Successful endovascular treatment of multiple mesenteric arterial aneurysms associated with alpha-1-antitrypsin deficiency.
abstract: We present a rare case of a patient who presented with acute abdominal pain with a previous history of alpha-1-antitrypsin deficiency (alpha1-antitrypsin deficiency). Further clinical deterioration necessitated computed tomography (CT) imaging, which demonstrated a hemoperitoneum. Angiography confirmed the rupture of multiple aneurysms originating from the mesenteric arterial arcade, which were treated successfully with endovascular embolization. The association between mesenteric arterial aneurysm rupture and alpha-1-antitrypsin deficiency is explored.
authors.affiliation: Department of Colorectal Surgery, Royal Victoria Hospital, Grosvenor Road, Belfast BT12 6BA, Belfast, Northern Ireland, United Kingdom.
authors.forename: Peter
authors.initials: P
authors.lastname: Gordon
authors.forename: Mark E
authors.initials: ME
authors.lastname: O'Donnell
authors.forename: Anton
authors.initials: A
authors.lastname: Collins
authors.forename: Keith R
authors.initials: KR
authors.lastname: Gardiner
authors.forename: Terry
authors.initials: T
authors.lastname: Irwin
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000208:Acute Disease; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D003287:Contrast Media; D004621:Embolization, Therapeutic; D006465:Hemoperitoneum / Q000209:etiology; D006801:Humans; D008297:Male; D008638:Mesenteric Arteries / Q000000981:diagnostic imaging; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D019896:alpha 1-Antitrypsin Deficiency / Q000150:complications*
chemical_list: D003287:Contrast Media