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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Abdominal Aorta01:25

Abdominal Aorta

Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.

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Related Experiment Video

Updated: May 10, 2026

A Model of Acute Lung Injury Following Visceral Ischemia-Reperfusion by Supra-Coeliac Aortic Cross Clamping in Rats
06:50

A Model of Acute Lung Injury Following Visceral Ischemia-Reperfusion by Supra-Coeliac Aortic Cross Clamping in Rats

Published on: August 15, 2025

Ruptured jejunal artery aneurysm.

Sílvia Costa1, Alexandre Costa, Tiago Pereira

  • 1Department of Surgery, Centro Hospitalar Gaia/Espinho, EPE, Gaia, Portugal. sisse.costa@gmail.com

BMJ Case Reports
|June 18, 2013
PubMed
Summary
This summary is machine-generated.

Ruptured jejunal artery aneurysms are rare but deadly. Prompt diagnosis and intervention are crucial for survival in patients presenting with vague abdominal pain.

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Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
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A Model of Acute Lung Injury Following Visceral Ischemia-Reperfusion by Supra-Coeliac Aortic Cross Clamping in Rats
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Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm

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Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Emergency Medicine

Background:

  • Visceral artery aneurysms (VAAs) are rare but potentially lethal vascular conditions.
  • Jejunal artery aneurysms constitute less than 3% of VAAs but carry a high rupture risk (30%) and mortality rate (20%).
  • Symptoms are often vague, complicating early diagnosis.

Observation:

  • A 76-year-old male presented with epigastric pain and vomiting.
  • Ultrasound revealed free abdominal fluid; CT scan diagnosed a ruptured jejunal artery aneurysm leading to hypovolemic shock.
  • The patient required emergent surgery, including aneurysmectomy and partial enterectomy due to jejunal ischemia.

Findings:

  • Successful surgical management involved aneurysmectomy and partial enterectomy with primary anastomosis.
  • The patient experienced an unremarkable recovery post-intervention.
  • This case highlights the critical nature of timely diagnosis and treatment for ruptured jejunal artery aneurysms.

Implications:

  • Emphasizes the need for a high index of suspicion for VAAs in patients with non-specific abdominal symptoms.
  • Underscores the importance of rapid diagnostic capabilities (ultrasound, CT) in the emergency department (ED).
  • Highlights the necessity of effective teamwork and prompt surgical or endovascular intervention to prevent catastrophic outcomes from ruptured VAAs.