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Ruptured Mycotic Aneurysm of the Superior Mesenteric Artery: A Case Report
Sai Swarupa Vulasala1, Anastasia Singareddy2, Sarvika M Dasari3
1Radiology, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.
Abstract:
An infected (mycotic) aneurysm of the visceral arteries is an uncommon entity, which may arise from a secondary infection of a preexisting aneurysm or be due to degeneration from a primary infection. Mycotic aneurysms require prompt recognition and definitive treatment; otherwise, there can be devastating morbidity and mortality. We present the case of a 51-year-old female with HIV and Crohn's disease who presented with subacute abdominal pain, nausea, and vomiting and was found to have an ultimately fatal mycotic aneurysm of the superior mesenteric artery. In addition, we discuss the characteristic imaging features of mycotic aneurysms on computed tomography and magnetic resonance imaging.
Insights
A rare mycotic aneurysm of the superior mesenteric artery, often fatal, requires prompt diagnosis and treatment. This case highlights imaging features in a patient with HIV and Crohn's disease.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Gastroenterology
Background:
- Visceral artery aneurysms, particularly mycotic aneurysms, are uncommon but life-threatening conditions.
- Mycotic aneurysms can result from secondary infection of pre-existing aneurysms or primary arterial infection.
- Prompt recognition and treatment are crucial to prevent severe morbidity and mortality.
Observation:
- A 51-year-old female with a history of HIV and Crohn's disease presented with subacute abdominal pain, nausea, and vomiting.
- Imaging revealed a mycotic aneurysm of the superior mesenteric artery.
Findings:
- The patient's mycotic aneurysm of the superior mesenteric artery was ultimately fatal.
- Characteristic imaging features of mycotic aneurysms on computed tomography (CT) and magnetic resonance imaging (MRI) were observed.
Implications:
- This case underscores the critical need for early diagnosis and aggressive management of visceral artery mycotic aneurysms.
- Familiarity with the distinct imaging findings of mycotic aneurysms on CT and MRI is essential for timely intervention.
- Patients with underlying conditions like HIV and Crohn's disease may be at increased risk.
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