Treatment of superior mesenteric artery mycotic aneurysm by synthetic vascular graft: A case report | [Journal of Pakistan Medical Association • 2023]

Author(s):

1. Syed Muhammad Hammad Alam: Department of Vascular Surgery, Liaquat National Hospital and Medical College,Karachi,Pakistan

2. Rabia Gilani: Department of Vascular Surgery, Liaquat National Hospital and Medical College,Karachi,Pakistan

3. Muhammad Ali Adnan: Department of Vascular Surgery, Liaquat National Hospital and Medical College,Karachi,Pakistan

4. Nida Jawad: Department of Vascular Surgery, Liaquat National Hospital and Medical College,Karachi,Pakistan

5. Asif Raza: Department of Vascular Surgery, Liaquat National Hospital and Medical College,Karachi,Pakistan

6. Amber Farman: Department of Vascular Surgery, Liaquat National Hospital and Medical College,Karachi,Pakistan

Abstract:

Superior mesenteric artery (SMA) aneurysm is a rare disease, especially if it is mycotic (infective) in origin. It is difficult to detect the problem during its initial natural course and usually presents in late phase due to its complications such as rupture, dissection, haemorrhage, and mesenteric ischaemia. Initially, the patient present with non-specific symptoms like vague colicky abdominal pain, nausea, vomiting, discomfort, malaise, and low-grade fever but prompt workup and intervention can lead to denfiitive diagnosis and uneventful outcome. This report describes the case of a 60-year-old male patient who presented with non-specific abdominal symptoms and, on workup, was diagnosed with superior mesenteric artery mycotic aneurysm. It was successfully treated surgically by resection of aneurysm and reconstruction of superior mesenteric artery by inter-positional Polytetrafluoroethylene (PTFE) synthetic vascular graft.

Page(s): 925-928

DOI: 10.47391/JPMA.6859

Published: Journal: Journal of Pakistan Medical Association, Volume: 73, Issue: 4, Year: 2023

Keywords:

Superior mesenteric artery , Infected Aneurysm , Mycotic Aneurysm , Splanchnic Aneurysm , PTFE Polytetrafluoroethylene graft

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