Pseudoaneurisma roto de artéria ileocólica: relato de caso
Ruptured ileocolic artery pseudoaneurysm: case report
Carolina Vasconcellos Sant’Anna; Felipe Garcia Kuhl; Alane Miranda Leite; Selma Regina de Oliveira Raymundo; André Rodrigo Miquelin; Vitória Acar; Vitor Brumato Fachini; Matheus Rafael Canuti
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Abstract
Visceral artery aneurysms (VAAs) and visceral artery pseudoaneurysms (VAPAs) are rare conditions and are potentially lethal when they rupture. They are usually found as incidental findings on computed tomography (CT) scans of asymptomatic patients. Although conventional open surgery is currently considered the gold standard treatment, the endovascular approach has gained prominence as a minimally invasive procedure with lower surgical risk. In this approach, use of coil embolization in saccular VAAs and VAPAs and implantation of flow-modulating stents constitute alternative treatments for fusiform aneurysms. We present the case of a 51-year-old female patient complaining of acute abdominal pain, tachycardia, and hypotension, with evidence of abdominal bleeding on CT angiography, who was diagnosed with a ruptured ileocolic artery (ICA) pseudoaneurysm. She underwent early endovascular treatment for ICA embolization, which was successful and achieved clinical improvement
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