Endovascular Management of an Unusual Mycotic Aneurysm of the Inferior Mesenteric Artery: A Case Report
Mycotic or infected Aneurysms (MA) are rare and typically affect major arteries. However, infective causes (mycotic) resulting in the formation of aneurysms in the Superior Mesenteric Artery (SMA) and Inferior Mesenteric Artery (IMA), despite their substantial rarity, are often symptomatic and may p...
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JCDR Research and Publications Private Limited
2024-02-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/19014/67670_CE[Ra1]_F(SS)_QC(KK_RDW_IS)_PF1(VD_KM)_PFA(VD_KM)_PN(KM).pdf |
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| author | THANDRA SAHITYA PHANI CHAKRAVARTY MUTNURU SURYA RAMACHANDRA VARMA GUNTURI |
| author_facet | THANDRA SAHITYA PHANI CHAKRAVARTY MUTNURU SURYA RAMACHANDRA VARMA GUNTURI |
| author_sort | THANDRA SAHITYA |
| collection | DOAJ |
| description | Mycotic or infected Aneurysms (MA) are rare and typically affect major arteries. However, infective causes (mycotic) resulting in the formation of aneurysms in the Superior Mesenteric Artery (SMA) and Inferior Mesenteric Artery (IMA), despite their substantial rarity, are often symptomatic and may present acutely. Hereby, the authors present a case of a 29-year-old male patient who presented with abdominal pain, fever, and generalised weakness. Contrast-enhanced Computed Tomography (CECT) of the abdomen revealed peripherally enhancing hypodense collections with air foci along the subhepatic, peri-splenic, peri-gastric, bilateral paravertebral, and posterior pararenal spaces, extending to the lumbar region. Furthermore, multilobar saccular outpouching with irregular margins and soft-tissue thickening was observed, originating from the proximal IMA. Pigtail drainage was performed, and culture showed the growth of polymicrobial flora. Due to the irregularity of the aneurysm, with a high-risk of rupture, coil embolisation of the IMA aneurysm was carried out. The imaging characteristics of infected aneurysms should alert clinicians and radiologists to the diagnosis, enabling timely treatment, which may involve endovascular techniques. |
| first_indexed | 2024-03-08T08:01:43Z |
| format | Article |
| id | doaj.art-82b4662591c74dcc8df609072c2ecb29 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-03-08T08:01:43Z |
| publishDate | 2024-02-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-82b4662591c74dcc8df609072c2ecb292024-02-02T12:06:05ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2024-02-011802101210.7860/JCDR/2024/67670.19014Endovascular Management of an Unusual Mycotic Aneurysm of the Inferior Mesenteric Artery: A Case ReportTHANDRA SAHITYA0PHANI CHAKRAVARTY MUTNURU1SURYA RAMACHANDRA VARMA GUNTURI2Junior Resident, Department of Radiology, Nizam’s Institute of Medical Sciences, Hyderabad, Telangana, India.Additional Professor, Department of Radiology, Nizam’s Institute of Medical Sciences, Hyderabad, Telangana, India.Additional Professor, Department of Surgical Gastroenterology, Nizam’s Institute of Medical Sciences, Hyderabad, Telangana, India.Mycotic or infected Aneurysms (MA) are rare and typically affect major arteries. However, infective causes (mycotic) resulting in the formation of aneurysms in the Superior Mesenteric Artery (SMA) and Inferior Mesenteric Artery (IMA), despite their substantial rarity, are often symptomatic and may present acutely. Hereby, the authors present a case of a 29-year-old male patient who presented with abdominal pain, fever, and generalised weakness. Contrast-enhanced Computed Tomography (CECT) of the abdomen revealed peripherally enhancing hypodense collections with air foci along the subhepatic, peri-splenic, peri-gastric, bilateral paravertebral, and posterior pararenal spaces, extending to the lumbar region. Furthermore, multilobar saccular outpouching with irregular margins and soft-tissue thickening was observed, originating from the proximal IMA. Pigtail drainage was performed, and culture showed the growth of polymicrobial flora. Due to the irregularity of the aneurysm, with a high-risk of rupture, coil embolisation of the IMA aneurysm was carried out. The imaging characteristics of infected aneurysms should alert clinicians and radiologists to the diagnosis, enabling timely treatment, which may involve endovascular techniques.https://www.jcdr.net/articles/PDF/19014/67670_CE[Ra1]_F(SS)_QC(KK_RDW_IS)_PF1(VD_KM)_PFA(VD_KM)_PN(KM).pdfcoil embolisationdigital subtraction angiogramvisceral arteries |
| spellingShingle | THANDRA SAHITYA PHANI CHAKRAVARTY MUTNURU SURYA RAMACHANDRA VARMA GUNTURI Endovascular Management of an Unusual Mycotic Aneurysm of the Inferior Mesenteric Artery: A Case Report Journal of Clinical and Diagnostic Research coil embolisation digital subtraction angiogram visceral arteries |
| title | Endovascular Management of an Unusual Mycotic Aneurysm of the Inferior Mesenteric Artery: A Case Report |
| title_full | Endovascular Management of an Unusual Mycotic Aneurysm of the Inferior Mesenteric Artery: A Case Report |
| title_fullStr | Endovascular Management of an Unusual Mycotic Aneurysm of the Inferior Mesenteric Artery: A Case Report |
| title_full_unstemmed | Endovascular Management of an Unusual Mycotic Aneurysm of the Inferior Mesenteric Artery: A Case Report |
| title_short | Endovascular Management of an Unusual Mycotic Aneurysm of the Inferior Mesenteric Artery: A Case Report |
| title_sort | endovascular management of an unusual mycotic aneurysm of the inferior mesenteric artery a case report |
| topic | coil embolisation digital subtraction angiogram visceral arteries |
| url | https://www.jcdr.net/articles/PDF/19014/67670_CE[Ra1]_F(SS)_QC(KK_RDW_IS)_PF1(VD_KM)_PFA(VD_KM)_PN(KM).pdf |
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