Document Detail

The rare case of a symptomatic atherosclerotic aneurysm of the superior epigastric artery mimicking an acute cholecystitis.
MedLine Citation:
PMID:  17826248     Owner:  NLM     Status:  MEDLINE    
True aneurysms of the epigastric artery are rare. We report a case of a 65-year-old female who was admitted for increasing upper abdominal pain. A leukocytosis, pyrexia, breathing stop on inspiration, and a palpable mass next to the right costal arch with severe local pain were suspicious for acute cholecystitis. Surprisingly, sonography and CT scan revealed a 5 x 4 cm structure limited to the abdominal wall directly above the gallbladder, which showed an arterial flow in the duplex scan. After resection and an uneventful postoperative course, the histological findings confirmed the diagnosis of a symptomatic true atherosclerotic aneurysm.
Sven Seifert; Axel Denz; Dag-Daniel D Dittert; Hans D Saeger
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  46     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-09-10     Completed Date:  2007-10-09     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  572-3     Citation Subset:  IM    
Department of Visceral, Thoracic and Vascular Surgery, University Hospital Dresden, Dresden, Germany.
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MeSH Terms
Aneurysm / diagnosis*,  etiology,  surgery
Atherosclerosis / complications*,  diagnosis
Cholecystitis, Acute / diagnosis*
Epigastric Arteries*
Follow-Up Studies
Tomography, X-Ray Computed
Vascular Surgical Procedures / methods

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