PMID: 19525600Jun 16, 2009Paper

Superior mesenteric artery syndrome caused by huge mycotic abdominal aortic aneurysm

Internal Medicine
Takeshi SarayaHajime Goto

Abstract

A 92-year-old man who had been hospitalized for dementia developed sudden-onset bilious vomiting accompanied by a fever of 40 degrees C. Physical examination revealed an 8 cm diameter pulsatile mass in the upper abdomen. Computed tomography of the abdomen demonstrated a huge infrarenal saccular aneurysm with a lobulated appearance. We considered this to be a mycotic abdominal aortic aneurysm compressing the third portion of the duodenum and causing proximal duodenal dilatation and superior mesenteric artery (SMA) syndrome.

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Citations

Mar 10, 2016·Journal of Vascular Surgery·Ali KordzadehYiannis P Panayiotopolous
Dec 8, 2011·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Jihui LiRaul J Rosenthal
Mar 17, 2021·Clinical Imaging·Christopher C ZarourZeeshaan S Bhatti

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