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14 September 2023 : Case report  Poland

[In Press] Rapid Formation and Hybrid Treatment of a Large Superior Mesenteric Artery Aneurysm

Unusual clinical course, Unusual setting of medical care, Rare disease

Piotr Kaszczewski ORCID logo1ABCDEF, Herbert Kozubek1BCDEF, Tomasz Ostrowski ORCID logo1ABCDF, Rafał Maciąg ORCID logo2BCD, Witold Chudziński ORCID logo1BCD, Maciej Skórski ORCID logo1BCD, Zbigniew Gałązka ORCID logo1CDE

DOI: 10.12659/AJCR.939558

Am J Case Rep In Press; DOI: 10.12659/AJCR.939558  

Available online: 2023-09-14, In Press, Corrected Proof

Publication in the "In-Press" formula aims at speeding up the public availability of the pending manuscript while waiting for the final publication. The assigned DOI number is active and citable. The availability of the article in the Medline, PubMed and PMC databases as well as Web of Science will be obtained after the final publication according to the journal schedule


Superior mesenteric artery (SMA) aneurysms account for about 5.5% of all visceral aneurysms, and are most commonly secondary to infectious causes or dissection. They tend to expand and rupture. Here, we present our successful diagnosis and treatment of a 41-year-old man with asymptomatic coeliac trunk stenosis, in whom the large aneurysm of the branch of the SMA developed in a very short time after conservative treatment of plastron appendicitis.
A 41-year-old man was diagnosed with plastron appendicitis during abdomen ultrasound (US) examination. Following 2 weeks of conservative treatment with intravenous antibiotic therapy, complete resolution of symptoms was obtained and confirmed in the computed tomography (CT) scan, and no other pathologies were diagnosed. Three weeks later, during the US examination, a 33-mm aneurysm of the branch of the SMA was diagnosed. The patient was admitted to the Vascular Surgery Department, where a critical stenosis of the coeliac trunk secondary to the compression by median arcuate ligament and a 33-mm true visceral aneurysm of one of the branches of the SMA were diagnosed. Successful treatment of the aneurysm was performed. Surgical decompression of the coeliac trunk and subsequent elective endovascular embolization of the SMA aneurysm with angioplasty of the coeliac trunk were performed. The postoperative period was uneventful and the patient was released from the hospital and remains asymptomatic.
Visceral artery aneurysm can form very quickly. In some of the aneurysms, a combination of open surgical and endovascular methods should be performed.

Keywords: Aneurysm; Embolization, Therapeutic; Endovascular Procedures; Median Arcuate Ligament Syndrome

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Surgical Treatment of a Neglected Thumb Volar Plate Injury in an 11-Year-Old Girl: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.940411  

28 Sep 2023 : Case report  Greece

Ileocolic Intussusception in Infancy is not Always Idiopathic – Adenomyoma as the Leading Point

Am J Case Rep In Press; DOI: 10.12659/AJCR.939789  

27 Sep 2023 : Case report  USA

Life-Threatening Cardiac Arrhythmias in a Case of Undetected Myxedema Coma: Importance of Early Detection a...

Am J Case Rep In Press; DOI: 10.12659/AJCR.941414  

26 Sep 2023 : Case report  Kuwait

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Am J Case Rep In Press; DOI: 10.12659/AJCR.940966  

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923