Mycotic Superior Mesenteric Artery Aneurysm: Case Report and Literature Review

Xuedong Xu1, Alicia L Eubanks2, Alan Wladis3

  • 11 The First Affiliated Hospital of Dalian Medical University, Dalian, China.

Surgical Innovation
|December 20, 2018
PubMed

Insights

A rare mycotic superior mesenteric artery (SMA) aneurysm was successfully resected using laparoscopic surgery. This minimally invasive approach offers a viable treatment option for SMA aneurysms, ensuring quick patient recovery.

Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Interventional Radiology

Background:

  • Superior mesenteric artery (SMA) aneurysms are the third most common splanchnic artery aneurysms.
  • Mycotic aneurysms, though rare, pose significant risks.
  • Early diagnosis and treatment are crucial for favorable outcomes.

Observation:

  • A 73-year-old female presented with a minimally symptomatic SMA aneurysm.
  • The aneurysm was identified as mycotic, indicating an infectious origin.
  • Laparoscopic surgical resection was performed as the primary treatment modality.

Findings:

  • The laparoscopic resection of the mycotic SMA aneurysm was technically successful.
  • The patient experienced a rapid recovery post-surgery.
  • No complications or recurrence were noted during the 8-month follow-up period.

Implications:

  • Laparoscopic surgery is a feasible and effective minimally invasive option for treating mycotic SMA aneurysms.
  • This case highlights the importance of considering infectious etiologies in SMA aneurysms.
  • Minimally invasive techniques can lead to faster patient recovery and potentially reduced morbidity.

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