Successful endovascular treatment of multiple mesenteric arterial aneurysms associated with alpha-1-antitrypsin deficiency.
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.
Gordon
Peter
P
Department of Colorectal Surgery, Royal Victoria Hospital, Grosvenor Road, Belfast BT12 6BA, Belfast, Northern Ireland, United Kingdom.
O'Donnell
Mark E
ME
Collins
Anton
A
Gardiner
Keith R
KR
Irwin
Terry
T
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*
D003287:Contrast Media