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[Aneurysms of intestinal arteries]
1Chirurg St. Elisabeth Ziekenhuis, Tilburg.
Langenbecks Archiv Fur Chirurgie. Supplement II, Verhandlungen Der Deutschen Gesellschaft Fur Chirurgie. Deutsche Gesellschaft Fur Chirurgie. Kongress
|January 1, 1990
Summary
Aneurysms of intestinal arteries are rare vascular conditions, often asymptomatic and discovered incidentally. Prompt elective treatment is crucial to prevent potentially fatal rupture.
Area of Science:
- Vascular Surgery
- Gastrointestinal Medicine
- Radiology
Context:
- Intestinal artery aneurysms are rare, occurring in less than 0.1% of the population.
- Splenic artery aneurysms are the most common type (60%), followed by hepatic (20%) and superior mesenteric (6%).
- Associated conditions include medial degeneration, arteriosclerosis, and infections.
Purpose:
- To review the incidence, etiology, diagnosis, and management of intestinal artery aneurysms.
- To highlight the risks associated with these aneurysms, particularly rupture.
- To discuss current treatment options and their efficacy.
Summary:
- Intestinal artery aneurysms are uncommon vascular pathologies, frequently asymptomatic and detected via angiography.
- Risk of rupture varies significantly (2% to >50%), posing a serious threat.
- Treatment options include exclusion, reconstruction, aneurysmorrhaphy, and embolization.
Impact:
- Early diagnosis and elective treatment are vital for preventing aneurysm rupture and associated mortality.
- Understanding the risk factors and management strategies improves patient outcomes.
- This review provides a comprehensive overview for clinicians managing these rare vascular disorders.