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.

Cureus
|March 13, 2024
PubMed

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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