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Five-centimeter superior mesenteric artery aneurysm. A case report.

R Bartolucci¹, L Battaglia, G Rabitti

¹Division of Vascular Surgery, San Camillo Hospital, Rome.

Chirurgia Italiana

|January 14, 2000

Summary

A rare, large mesenteric artery aneurysm was surgically treated using endoaneurismectomy and a saphenous vein graft. This case highlights diagnostic and treatment considerations for this uncommon vascular condition.

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Area of Science:

Vascular Surgery
Abdominal Radiology
Gastroenterology

Background:

Mesenteric artery aneurysms are rare vascular conditions.
They can present with vague symptoms like abdominal pain or a palpable mass.
Diagnosis often requires advanced imaging techniques.

Observation:

A large mesenteric artery aneurysm was identified.
The patient presented with symptoms suggestive of "angina abdominis" and an abdominal mass.
Surgical intervention was deemed necessary.

Findings:

Endoaneurismectomy with a reverse end-to-end saphenous vein graft was successfully performed.
The surgical approach addressed the aneurysm while preserving blood flow.
Post-operative outcomes were managed according to standard surgical protocols.

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Implications:

This case underscores the importance of considering rare vascular pathologies in abdominal diagnostics.
Surgical repair, including graft techniques, remains a viable treatment option for mesenteric artery aneurysms.
Further review of incidence, pathogenesis, and diagnosis can refine clinical management strategies.