Ruptured Visceral Artery Aneurysms: A Deadly Cause of Epigastric Pain

Visceral artery aneurysms (VAA) are rare, life-threatening disease processes that often affect the celiac, superior mesenteric, or inferior mesenteric arteries and their respective branches. The splenic, hepatic, superior mesenteric, and tripod celiac arteries are most commonly affected and have hig...

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Main Authors: Sara Bradley, Faith Quenzer, Micah Wittler
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2019-05-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/3jj101ft
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author Sara Bradley
Faith Quenzer
Micah Wittler
author_facet Sara Bradley
Faith Quenzer
Micah Wittler
author_sort Sara Bradley
collection DOAJ
description Visceral artery aneurysms (VAA) are rare, life-threatening disease processes that often affect the celiac, superior mesenteric, or inferior mesenteric arteries and their respective branches. The splenic, hepatic, superior mesenteric, and tripod celiac arteries are most commonly affected and have high rupture and mortality rates. This case describes splenic and celiac artery aneurysms in a patient that led to hemorrhagic shock and multisystem organ failure despite timely diagnosis and ligation. A brief review of the literature further elucidates the key risk factors in identifying patients with VAAs and their treatment course.
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spelling doaj.art-9fdf10603630425880f85eb717654f792022-12-21T20:15:29ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2019-05-013210.5811/cpcem.2019.1.41057cpcem-03-132Ruptured Visceral Artery Aneurysms: A Deadly Cause of Epigastric PainSara Bradley0Faith Quenzer1Micah Wittler2Western University of Health Sciences, College of Osteopathic Medicine of the Pacific, Pomona, CaliforniaDesert Regional Medical Center, Department of Emergency Medicine, Palm Springs, CaliforniaDesert Regional Medical Center, Department of Emergency Medicine, Palm Springs, CaliforniaVisceral artery aneurysms (VAA) are rare, life-threatening disease processes that often affect the celiac, superior mesenteric, or inferior mesenteric arteries and their respective branches. The splenic, hepatic, superior mesenteric, and tripod celiac arteries are most commonly affected and have high rupture and mortality rates. This case describes splenic and celiac artery aneurysms in a patient that led to hemorrhagic shock and multisystem organ failure despite timely diagnosis and ligation. A brief review of the literature further elucidates the key risk factors in identifying patients with VAAs and their treatment course.https://escholarship.org/uc/item/3jj101ft
spellingShingle Sara Bradley
Faith Quenzer
Micah Wittler
Ruptured Visceral Artery Aneurysms: A Deadly Cause of Epigastric Pain
Clinical Practice and Cases in Emergency Medicine
title Ruptured Visceral Artery Aneurysms: A Deadly Cause of Epigastric Pain
title_full Ruptured Visceral Artery Aneurysms: A Deadly Cause of Epigastric Pain
title_fullStr Ruptured Visceral Artery Aneurysms: A Deadly Cause of Epigastric Pain
title_full_unstemmed Ruptured Visceral Artery Aneurysms: A Deadly Cause of Epigastric Pain
title_short Ruptured Visceral Artery Aneurysms: A Deadly Cause of Epigastric Pain
title_sort ruptured visceral artery aneurysms a deadly cause of epigastric pain
url https://escholarship.org/uc/item/3jj101ft
work_keys_str_mv AT sarabradley rupturedvisceralarteryaneurysmsadeadlycauseofepigastricpain
AT faithquenzer rupturedvisceralarteryaneurysmsadeadlycauseofepigastricpain
AT micahwittler rupturedvisceralarteryaneurysmsadeadlycauseofepigastricpain