Massive upper gastrointestinal bleeding due to a ruptured superior mesenteric artery aneurysm duodenum fistula

Journal of Vascular Surgery
Jichun Zhao

Abstract

This case report describes sudden massive upper gastrointestinal bleeding due to a ruptured superior mesenteric artery aneurysm-duodenal fistula following mitral and aortic valvular replacement surgery due to infectious endocarditis. The superior mesenteric artery false aneurysm was diagnosed by computed tomography scanning. The intraoperative findings included a rupture at the trunk of superior mesenteric artery (SMA) and a perforation on the anterior wall of the third portion of the duodenum. The patient was treated by emergency surgery, which consisted of an interposition repair of the SMA with a saphenous vein graft for the superior mesenteric artery and a duodenojejunal Roux-en-Y anastomosis for the perforation of the duodenum. At 30-months follow-up, the patient is alive and well with no abdominal pain and eating a regular diet.

References

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Citations

Aug 1, 2013·World Journal of Gastroenterology : WJG·Chung-Ho Choo, Hsu-Heng Yen
Jan 21, 2014·Journal des maladies vasculaires·Y TijaniM Taberkant
Feb 14, 2012·Current Problems in Surgery·R James Valentine, Jayer Chung
May 3, 2011·Journal of Vascular Surgery·Jianjun JiangSanyuan Hu
May 29, 2012·International Journal of Surgery Case Reports·Pierpaolo SileriAchille L Gaspari
Mar 18, 2016·Vascular and Endovascular Surgery·Alessandro de TroiaPierFranco Salcuni
Jun 2, 2018·The Korean Journal of Thoracic and Cardiovascular Surgery·Min NamkoongJang Yong Kim
Jun 24, 2009·Current Infectious Disease Reports·Luis R León, Joseph L Mills
Jan 2, 2016·Proceedings·Cory M FieldingDeborah Flomenhoft
Dec 21, 2018·BMJ Case Reports·Sureshkumar Nagiah, Rassam Badbess
Nov 23, 2019·The Thoracic and Cardiovascular Surgeon·Rebecca Grossman, Rohin Francis

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