1/48. Hepatic arterial pseudoaneurysm: a rare complication of blunt abdominal trauma in children.We report a child who developed a hepatic artery pseudoaneurysm following blunt hepatic injury. This is a rare complication of hepatic trauma in children. The imaging evaluation and clinical management of hepatic artery pseudoaneurysms are presented.- - - - - - - - - - ranking = 1keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
2/48. Traumatic pseudoaneurysm of the abdominal aorta.A traumatic pseudoaneurysm of the abdominal aorta is a rare entity, occurring as the result of a missed aortic lesion at the time of the initial injury. Therefore, clinical suspicion and careful abdominal exploration at first laparotomy is mandatory to prevent aortic pseudoaneurysm formation and its risk of delayed rupture. We present a case of successful surgical treatment of a suprarenal aortic false aneurysm, presenting 4 weeks after a life-threatening gunshot wound in a 13-year-old child.- - - - - - - - - - ranking = 1.0030923214197keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
3/48. aneurysm of a jejunal branch of the superior mesenteric artery in a patient with Marfan's syndrome.A case of post-traumatic aneurysm of a jejunal branch of the superior mesenteric artery in a patient with Marfan's syndrome is reported. Ascending aortic involvement is well known in Marfan's syndrome but no association with visceral artery aneurysms has been previously described. The blunt abdominal trauma preceding the detection of the aneurysm may have been the precipitating cause in a predisposed patient. Because of the high risk of rupture, aneurysms of the superior mesenteric artery branches should be treated. Excision or ligation without restoring continuity are the most common surgical procedures; endovascular embolization is an alternative option especially in high risk patients.- - - - - - - - - - ranking = 0.012369285678661keywords = aneurysm (Clic here for more details about this article) |
4/48. Post-traumatic intrasplenic pseudoaneurysms with delayed rupture: color Doppler sonographic and CT findings.Post-traumatic intrasplenic pseudoaneurysms are very rare in children. Since pseudoaneurysms may expand a splenic hematoma and cause delayed splenic rupture, early diagnosis and treatment are crucial. In this report, we describe the case of a 12-year-old boy with a delayed splenic rupture caused by a splenic hematoma containing 2 pseudoaneurysms. Abdominal sonography showed free intraperitoneal fluid and a mildly enlarged spleen with a large heterogeneous area occupying the upper half of the organ. Two anechoic lesions (15 and 4 mm) were seen inside the hematoma near the splenic hilum. color Doppler sonography demonstrated turbulent arterial flow within the lesions, suggesting pseudoaneurysms. On CT, the lesions enhanced simultaneously with the splenic artery in the arterial phase of contrast enhancement. CT also showed an intrasplenic arterial branch leading to the larger of the 2 pseudoaneurysms.- - - - - - - - - - ranking = 1.5keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
5/48. Cirsoid aneurysm after hysterectomy.Cirsoid aneurysm, an uncommon abnormal either congenital or acquired arteriovenous communication, is described. As massive life-threatening bleeding can be a consequence, diagnosis is very important. Earlier, angiography was the only imaging method available for visualizing vascular lesions and recent developments in imaging techniques have made diagnostic imaging of cirsoid aneurysms possible using ultrasonography, color flow mapping, magnetic resonance imaging and magnetic resonance angiography. In this report, a patient with intrapelvic cirsoid aneurysm posthysterectomy who died 8 h after she had been kicked in the abdomen is described and the results obtained by various imaging techniques are discussed.- - - - - - - - - - ranking = 0.021646249937657keywords = aneurysm (Clic here for more details about this article) |
6/48. Hemosuccus pancreaticus from a traumatic gastroduodenal pseudoaneurysm: an unusual cause of upper gastrointestinal bleeding.Hemosuccus pancreaticus, blood entering the gastrointestinal tract through the pancreatic duct, is a rare and elusive form of gastrointestinal bleeding with diagnostic difficulties. We report a 37-year-old man who had recurrent gastrointestinal bleeding from erosion of a pseudoaneurysm of the gastroduodenal artery into the pancreatic duct. The lack of history of pancreatitis, associated symptoms, equivocal endoscopic findings, and the rarity of this entity resulted in a delay in diagnosis. Pancreatic duct stenosis detected during surgery suggested the lesion might have been caused by blunt abdominal trauma. A nearly total pancreatectomy and splenectomy were performed. The patient remained symptom-free 8 months after the operation. This obscure cause of gastrointestinal bleeding should be considered when common causes of bleeding have been ruled out, even in the absence of pancreatitis.- - - - - - - - - - ranking = 0.83333333333333keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
7/48. Successful angioembolization of renal artery pseudoaneurysms after blunt abdominal trauma.We report a case of minimally invasive management of renal artery pseudoaneurysms after blunt abdominal trauma. A 44-year-old man developed gross hematuria after a motor vehicle collision. The initial radiographic evaluation revealed only a parenchymal laceration of the right kidney, and the patient was treated conservatively. Persistent gross hematuria necessitated repeat renal angiography that revealed numerous small pseudoaneurysms. Angioembolization was successfully performed with minimal compromise of the renal parenchyma. Transcatheter embolization is safe and effective for controlling hemorrhage from traumatic renal artery pseudoaneurysms and should be the initial treatment of choice in hemodynamically stable patients.- - - - - - - - - - ranking = 1.1666666666667keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
8/48. Management of hemobilia with transarterial angiographic embolization: report of one case.A nine-year-old girl who developed life threatening hemobilia after blunt abdominal trauma was successfully managed by embolization of the hepatic artery aneurysm. However, biliary fistula persisted and subcapsular liver abscess occurred after the endoscopic sphincterotomy and the placement of a nasobiliary drain for bile leakage. debridement of the abscess and insertion of a drain tube eventually cured the event. The relevant literature is reviewed and the management of the hemobilia is discussed.- - - - - - - - - - ranking = 0.0030923214196653keywords = aneurysm (Clic here for more details about this article) |
9/48. renal artery dissection after blunt abdominal trauma: a rare cause of acute cortical necrosis.renal artery injury is an uncommon complication of blunt abdominal trauma. We present a case of a 19-year-old man who developed acute cortical necrosis in a congenital single kidney after a motorcycle accident. On initial presentation, he had signs of splenic injury and required immediate laparotomy and splenectomy. His renal function deteriorated, and he became dialysis dependent. Computed tomography followed by percutaneous angiography showed a dissection of a single renal artery causing the formation of a large pseudoaneurysm. A second angiogram showed an increase in the size of the pseudoaneurysm. We performed a laparotomy and attempted in situ vein graft repair of the renal artery. A wedge biopsy specimen taken at laparotomy revealed acute cortical necrosis, and plain radiographs showed cortical calcification. renal artery dissection and pseudoaneurysm formation are rare events after blunt trauma. Iatrogenic damage is the most common cause of pseudoaneurysm. Traumatic pseudoaneurysms have a poor prognosis without prompt surgical intervention. Renal arterial damage may occur after blunt trauma, and early imaging and intervention are essential to salvage renal function.- - - - - - - - - - ranking = 0.83333333333333keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
10/48. Pseudoaneurysm of inferior epigastric artery following abdominal paracentesis.We report a 31-year-old man with chronic renal failure and ascites who developed severe abdominal pain and a local non-pulsatile mass after therapeutic paracentesis. Doppler study confirmed a pseudoaneurysm of the right inferior epigastric artery. The patient recovered after the artery was ligated and the aneurysm excised.- - - - - - - - - - ranking = 0.18212827376499keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
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