A unique proposed etiology for inferior mesenteric artery aneurysm: A case report

The etiology of large artery aneurysms has long been established as secondary to atherosclerotic disease and degenerative changes in the vessel walls. Less common, are aneurysms of the visceral arteries; the splanchnic and renal arteries. Rarer yet, are inferior mesenteric artery aneurysms, accounti...

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Main Authors: Omari Christie, MD, Naomi Isaac, Ravikumar Hanumaiah, MD
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043322002291
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author Omari Christie, MD
Naomi Isaac
Ravikumar Hanumaiah, MD
author_facet Omari Christie, MD
Naomi Isaac
Ravikumar Hanumaiah, MD
author_sort Omari Christie, MD
collection DOAJ
description The etiology of large artery aneurysms has long been established as secondary to atherosclerotic disease and degenerative changes in the vessel walls. Less common, are aneurysms of the visceral arteries; the splanchnic and renal arteries. Rarer yet, are inferior mesenteric artery aneurysms, accounting for approximately 1% of visceral artery aneurysms. While causes range from inflammatory to congenital disease, a proposed etiology of proximal, solitary inferior mesenteric artery aneurysms, is correlated to the “jet disorder phenomenon,” first described in a 1990 case report by Sugrue, and Hederman. This paradigm states that aneurysm formation may occur secondary to celiac and superior mesenteric artery occlusion, causing increased, and turbulent arterial flow distally. We present a case that demonstrates a small inferior mesenteric artery aneurysm without findings of celiac or superior mesenteric artery stenosis or occlusion. This patient did, however, have a large thrombosed common hepatic artery aneurysm which may serve as an alternate cause of jet disorder phenomenon. The findings in this case offers support for focused screening of proximal arterial vasculature when an inferior mesenteric artery aneurysm is encountered.
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spelling doaj.art-1d6b633ad9364717849387bd87aa71fc2022-12-22T02:22:00ZengElsevierRadiology Case Reports1930-04332022-06-0117620472051A unique proposed etiology for inferior mesenteric artery aneurysm: A case reportOmari Christie, MD0Naomi Isaac1Ravikumar Hanumaiah, MD2SUNY Upstate University Hospital, 750 E Adams St. Syracuse, NY 13210; Corresponding author.Touro College of Osteopathic Medicine, 60 Prospect Ave, Middletown, NY 10940SUNY Upstate University Hospital, 750 E Adams St. Syracuse, NY 13210The etiology of large artery aneurysms has long been established as secondary to atherosclerotic disease and degenerative changes in the vessel walls. Less common, are aneurysms of the visceral arteries; the splanchnic and renal arteries. Rarer yet, are inferior mesenteric artery aneurysms, accounting for approximately 1% of visceral artery aneurysms. While causes range from inflammatory to congenital disease, a proposed etiology of proximal, solitary inferior mesenteric artery aneurysms, is correlated to the “jet disorder phenomenon,” first described in a 1990 case report by Sugrue, and Hederman. This paradigm states that aneurysm formation may occur secondary to celiac and superior mesenteric artery occlusion, causing increased, and turbulent arterial flow distally. We present a case that demonstrates a small inferior mesenteric artery aneurysm without findings of celiac or superior mesenteric artery stenosis or occlusion. This patient did, however, have a large thrombosed common hepatic artery aneurysm which may serve as an alternate cause of jet disorder phenomenon. The findings in this case offers support for focused screening of proximal arterial vasculature when an inferior mesenteric artery aneurysm is encountered.http://www.sciencedirect.com/science/article/pii/S1930043322002291AneurysmVisceral aneurysmEtiology of visceral aneurysmInferior mesenteric artery aneurysmJet disorder phenomenon
spellingShingle Omari Christie, MD
Naomi Isaac
Ravikumar Hanumaiah, MD
A unique proposed etiology for inferior mesenteric artery aneurysm: A case report
Radiology Case Reports
Aneurysm
Visceral aneurysm
Etiology of visceral aneurysm
Inferior mesenteric artery aneurysm
Jet disorder phenomenon
title A unique proposed etiology for inferior mesenteric artery aneurysm: A case report
title_full A unique proposed etiology for inferior mesenteric artery aneurysm: A case report
title_fullStr A unique proposed etiology for inferior mesenteric artery aneurysm: A case report
title_full_unstemmed A unique proposed etiology for inferior mesenteric artery aneurysm: A case report
title_short A unique proposed etiology for inferior mesenteric artery aneurysm: A case report
title_sort unique proposed etiology for inferior mesenteric artery aneurysm a case report
topic Aneurysm
Visceral aneurysm
Etiology of visceral aneurysm
Inferior mesenteric artery aneurysm
Jet disorder phenomenon
url http://www.sciencedirect.com/science/article/pii/S1930043322002291
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