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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.
Abstract:
Superior mesenteric artery (SMA) aneurysm is the third most common splanchnic artery aneurysm. A 73-year-old woman presented with a minimally symptomatic SMA aneurysm, which was resected by laparoscopic surgical technique. The patient recovered quickly and remained well after 8 months of follow-up. This case report and literature review presents a rare mycotic aneurysm that developed in the SMA. Laparoscopic surgery can be a useful technique for the treatment of mycotic SMA aneurysms.
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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