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Related Concept Videos

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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...
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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...
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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Infected Aneurysm after Endoscopic Submucosal Dissection.

Shiko Gen1, Ryuichi Usui, Takaya Sasaki

  • 1Department of Nephrology, Saitama Sekishinkai Hospital, Japan.

Internal Medicine (Tokyo, Japan)
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A rare infected aneurysm complication following endoscopic submucosal dissection (ESD) for early gastric cancer is presented. Prompt diagnosis via contrast CT is crucial for patients experiencing post-procedure fever and abdominal pain.

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Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Infectious Diseases

Background:

  • Endoscopic submucosal dissection (ESD) is a minimally invasive procedure for early gastric cancer.
  • Infected aneurysms are serious complications, but rarely associated with gastrointestinal procedures.
  • This case highlights a novel complication following ESD.

Observation:

  • A 79-year-old male on hemodialysis developed fever and abdominal pain post-ESD.
  • Blood tests revealed a severe inflammatory response.
  • Contrast CT showed aortic involvement suggestive of an infected aneurysm.

Findings:

  • An infected aneurysm was diagnosed in a patient after undergoing ESD for early gastric cancer.
  • This represents the first reported case of an infected aneurysm developing after ESD.
  • Previous reports linked infected aneurysms to other procedures like cholecystectomy or esophageal cyst biopsy.

Implications:

  • Clinicians should consider infected aneurysms in patients with fever and abdominal pain after ESD.
  • Contrast CT is essential for diagnosing this rare but severe complication.
  • Early recognition and treatment are critical for patient outcomes.