title: [Surgical treatment of an aneurysm of the upper mesenteric artery].
abstract: Presented herein is a clinical case report concerning successful surgical treatment of an aneurysm of the upper superior mesenteric artery. Diagnosis included contrast-enhanced multispiral computed tomography. Thought the middle laparotomy we exposed an aneurysm of the superior mesenteric artery measuring 3 mm in diameter. A peculiarity of the aneurysm was that it was tightly adhered to the body of the pancreas and had a "neck" with pronounced signs of infiltration, with the latter extending to the right lateral and upper wall of the aneurysm. The aneurysm was resected along its "neck" which made it possible to suture the defect without residual stenosis and with no use of a synthetic patch. The woman was discharged on day 8 postoperatively in a satisfactory condition. Based on the morphological examination of the micropreparation the following diagnosis was made: fibromuscular dysplasia, aneurysm of the superior mesenteric artery.
authors.affiliation: Department of Cardiovascular and Endovascular Surgery, Kazakh Medical University of Continuing Education, Alma-Ata, Kazakhstan.
authors.forename: A T
authors.initials: AT
authors.lastname: Bespaev
authors.affiliation: Department of Cardiovascular and Endovascular Surgery, Kazakh Medical University of Continuing Education, Alma-Ata, Kazakhstan.
authors.forename: S M
authors.initials: SM
authors.lastname: Abuov
authors.affiliation: Department of Cardiovascular and Endovascular Surgery, Kazakh Medical University of Continuing Education, Alma-Ata, Kazakhstan.
authors.forename: S Zh
authors.initials: SZh
authors.lastname: Kyrgyzbaev
authors.affiliation: Department of Cardiovascular and Endovascular Surgery, Kazakh Medical University of Continuing Education, Alma-Ata, Kazakhstan.
authors.forename: T Sh
authors.initials: TSh
authors.lastname: Zhunusov
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D005260:Female; D006801:Humans; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000601:surgery; D036542:Tomography, Spiral Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*