1/13. Ruptured pancreaticoduodenal artery aneurysm treated by superselective transcatheter arterial embolization and preserving vascularity of pancreaticoduodenal arcades.We report a case of a ruptured aneurysm in the anterior superior pancreaticoduodenal artery (PDA) with hypovolemic shock managed successfully by superselective transcatheter arterial embolization of the aneurysm. A 75-year-old male presented to our hospital with hematemesis and melena. On admission, he was in shock. angiography showed an aneurysm about 1 cm in diameter in the anterior superior PDA. However, extravasation of contrast medium was not seen owing to hypovolemic shock. A catheter was inserted into the aneurysm, and superselective microcoil embolization of the PDA aneurysm was successfully achieved. After the microcoil was inserted into the aneurysm itself, it was observed that duodenal vascularity and pancreaticoduodenal arcades were preserved and aneurysm was not present. There was no complication such as necrosis or abscess formation in the pancreas. The patient recovered and is doing well after 18 months of follow-up. Superselective transcatheter arterial embolization should be considered as the initial treatment of choice for all peripancreatic aneurysms.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
2/13. Ruptured right aortic arch aneurysm.A case of a ruptured right aortic arch aneurysm in a 74-year-old woman presenting with shock is reported. The diagnostic and operative findings are presented. We discuss the surgical approach and review the literature.- - - - - - - - - - ranking = 0.41666666666667keywords = aneurysm (Clic here for more details about this article) |
3/13. Extracranial carotid artery aneurysm in a child misdiagnosed as a parapharyngeal abscess: a case report.An extracranial carotid artery aneurysm in a child misdiagnosed as a parapharyngeal abscess is presented. diagnosis modalities of cervical masses and features of aneurysms are discussed. It is stressed that, regardless of age, in the presence of a pulsating and tender cervical or parapharyngeal mass, an aneurysm is probable. Prior to any intervention, at least non-invasive screening tests must be performed. Failure may lead to disastrous results.- - - - - - - - - - ranking = 0.58333333333333keywords = aneurysm (Clic here for more details about this article) |
4/13. The problem with nose bleeds.epistaxis is common in the paediatric population and is usually minor and self limiting. This case illustrates an atypical presentation of epistaxis with hypovolaemic shock due to a dissecting false aneurysm of the internal carotid artery caused by an impalement injury to the oropharynx.- - - - - - - - - - ranking = 0.083333333333333keywords = aneurysm (Clic here for more details about this article) |
5/13. Hypovolemic shock caused by a true aneurysm of the pancreatico-duodenal artery: case report and review of the literature.True pancreatico-duodenal artery aneurysm (PDAA) is a rare condition that since 1973 has been described in only 54 cases. It is frequently associated with celiac axis stenosis and often present with rupture. Even if most PDAAs that are not ruptured are asymptomatic and are diagnosed during investigation for other diseases, they may have some symptoms, such as chronic abdominal discomfort and an abdominal pulsating mass, that can be helpful for diagnosis. The treatment of this condition has evolved in time from a merely surgical one to an angiographic noninvasive approach. We present a case of a PDAA that manifested with sudden hypovolemic shock requiring an emergency operation, and through a review of the literature, we discuss the different diagnostic/therapeutic protocols to use in different situations.- - - - - - - - - - ranking = 0.41666666666667keywords = aneurysm (Clic here for more details about this article) |
6/13. Ruptured gastroepiploic artery aneurysm and vascular collapse in a patient with thoracic aneurysm.A case of ruptured gastroepiploic artery aneurysm associated with thoracic aortic aneurysm is presented. gastroepiploic artery aneurysms are rare, but the association of visceral artery aneurysm and aortic aneurysm is clinically significant and is emphasized in this report.- - - - - - - - - - ranking = 1.0833333333333keywords = aneurysm (Clic here for more details about this article) |
7/13. Refractory shock secondary to copper sulfate ingestion.Presented is the case of a 62-year-old man with refractory shock secondary to copper sulfate ingestion. The patient's history was complicated by the presence of peptic ulcer disease, myocardial disease, and a known abdominal aortic aneurysm. Despite the presence of such characteristic signs and symptoms as hemorrhagic gastroenteritis, hemolytic anemia, and refractory hypotension, the diagnosis of copper sulfate ingestion was delayed for several days after ingestion, when the family first volunteered that the patient had vomited blue-green material the day before his admission to the hospital. This delay contributed significantly to the patient's ultimate demise.- - - - - - - - - - ranking = 0.083333333333333keywords = aneurysm (Clic here for more details about this article) |
8/13. angiography as an aid in extra-enteric gastrointestinal bleeding due to visceral artery aneurysm.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.- - - - - - - - - - ranking = 0.41666666666667keywords = aneurysm (Clic here for more details about this article) |
9/13. The clinical use of antishock trousers.In 34 (71%) of 48 consecutive patients who were in shock (systolic blood pressure less than 80 mm Hg) the application of antishock trousers by ambulance personnel or emergency room staff produced rapid increases of 20 mm Hg or more in the systolic blood pressure. The trousers were applied to a 49th patient only to stabilize a fractured femur. The most common indication for the device was shock resulting from hemorrhage in the upper gastrointestinal tract. Of 20 such patients, 17 (85%) responded rapidly, as did all 5 patients who were treated for a ruptured abdominal aortic aneurysm. The proper application and management of antishock trousers are simple enough for use in the field, although deflation of the device before adequate replacement of fluids would precipitate a return to a state of shock.- - - - - - - - - - ranking = 0.083333333333333keywords = aneurysm (Clic here for more details about this article) |
10/13. rupture of a hepatic artery aneurysm caused by Wegener's granulomatosis.Among vasculitis syndromes Wegener's granulomatosis (WG) is characterized by involvement of the upper and lower airways and kidneys. The associated vasculitis involves small and medium sized arteries and veins. Aneurysm formation and a segmental pattern of involvement of larger arteries is not typically seen in WG--a presentation more in keeping with polyarteritis nodosa. We report on a patient hospitalized with classical manifestations of WG who died suddenly of hypovolemic shock caused by intraperitoneal hemorrhage resulting from rupture of a hepatic artery aneurysm. The aneurysm was caused by involvement of the hepatic artery in the disease process. To our knowledge aneurysmatic dilatation of the hepatic artery due to WG has not been previously described. This case illustrates an unusual disease course in WG and the overlap which exists in classical vasculitis syndromes.- - - - - - - - - - ranking = 0.58333333333333keywords = aneurysm (Clic here for more details about this article) |
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