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Angiography as an aid in extra-enteric gastrointestinal bleeding due to visceral artery aneurysm
Annals of Surgery
|April 1, 1978
Insights
This study presents three rare cases of visceral artery aneurysms. Emergency selective angiography proved effective for diagnosing and planning surgical intervention in patients with hypovolemia.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Gastrointestinal Medicine
Background:
- Visceral artery aneurysms are rare vascular conditions.
- Prompt diagnosis and surgical planning are crucial for effective management.
Observation:
- Three patients presented with unusual visceral artery aneurysms: hepatic artery, inferior pancreaticoduodenal artery, and mesenteric branch artery.
- All aneurysms were diagnosed preoperatively using angiography.
- Two patients experienced hypovolemia, necessitating an urgent diagnostic approach.
Findings:
- Surgical intervention was planned based on preoperative angiographic findings.
- A simple diagnostic approach using emergency selective angiography was developed.
- This approach was successfully employed in two patients with hypovolemia.
Implications:
- Highlights the importance of advanced imaging in diagnosing rare vascular pathologies.
- Demonstrates the utility of emergency selective angiography in managing hemodynamically unstable patients with visceral artery aneurysms.
- Contributes to the understanding and management strategies for uncommon visceral artery aneurysms.
Abstract:
Three unusual patients with visceral artery aneurysms involving the hepatic artery, inferior pancreaticoduodenal artery, and a mesenteric branch artery are presented. Each of these lesions is unusual and all were diagnosed preoperatively. Surgical intervention was planned on the basis of angiography. In two patients with hypovolemia a simple diagnostic approach employing emergency selective angiography was formulated and successfully used.