Document Detail

[Rupture of a superior mesenteric artery aneurysm].
MedLine Citation:
PMID:  20960383     Owner:  NLM     Status:  MEDLINE    
HISTORY AND ADMISSION FINDINGS: A 54-year-old patient presented with acute abdominal pain that had started after having a bowel movement. INVESTIGATIONS AND DIAGNOSIS: Ultrasound examination revealed free intraabdominal fluid with no signs of organ rupture. CT-scan showed a peripherally located ruptured aneurysm of a branch of the superior mesenteric artery. TREATMENT AND COURSE: Intraoperatively the aneurysm was then ligated. A vascular reconstruction or bowel resection was not necessary. After an uneventful postoperative course, the patient could be discharged from the hospital on postoperative day four. Two weeks later the patient was readmitted, with fever and dyspnea. Transesophageal echocardiogram suggested the presence of bacterial growth on the aortic and mitral valves. Blood cultures and valvular vegetations grew Streptococcus viridans. The diagnosed infective endocarditis was caused by a tooth-infection, that had been recurrent for one year. After treatment of the tooth infection, the mitral and aortic valves were replaced without any complications. CONCLUSION: Because of the high mortality associated with rupture, it is important that visceral aneurysms are taken into consideration in the differential diagnosis of unexplained abdominal pain. It should also be kept in mind that the aneurysm could be due to an infective endocarditis. Therefore, echography should be carried out in each case, to avoid further complications and to give optimal treatment.
B Rumstadt; D Schilling
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Publication Detail:
Type:  Case Reports; English Abstract; Journal Article     Date:  2010-10-19
Journal Detail:
Title:  Deutsche medizinische Wochenschrift (1946)     Volume:  135     ISSN:  1439-4413     ISO Abbreviation:  Dtsch. Med. Wochenschr.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-20     Completed Date:  2010-11-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0006723     Medline TA:  Dtsch Med Wochenschr     Country:  Germany    
Other Details:
Languages:  ger     Pagination:  2125-7     Citation Subset:  IM    
Copyright Information:
© Georg Thieme Verlag KG Stuttgart · New York.
Klinik für Allgemein-, Gefäß- und Visceralchirurgie, Fürst-Stirum-Klinik Bruchsal, Bruchsal.
Vernacular Title:
Ruptur eines Aneurysmas der Arteria mesenterica superior.
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MeSH Terms
Abdomen, Acute / etiology*
Aneurysm, Ruptured / diagnosis*,  surgery
Aortic Valve / surgery
Echocardiography, Transesophageal
Endocarditis, Bacterial / diagnosis,  surgery
Mesenteric Artery, Superior* / surgery
Middle Aged
Mitral Valve / surgery
Postoperative Complications / etiology
Streptococcal Infections / diagnosis,  surgery
Tomography, X-Ray Computed
Viridans Streptococci

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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