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Article ; Online: Spontaneous Rupture of Mesenteric Vasculature Associated with Fibromuscular Dysplasia in a 28-Year-Old Male.

Aru, Roberto G / Wallace, Jerald P / Bounds, Michael C / Sheppard, Mary B / Guney, Akif K / O'Connor, William N / Tyagi, Sam C

Annals of vascular surgery

2020  Volume 71, Page(s) 534.e13–534.e15

Abstract: Spontaneous rupture of mesenteric vasculature associated with fibromuscular dysplasia is an unreported phenomenon. We describe a case in a 28-year-old male with a history of chronic abdominal pain who presented to our facility in hemorrhagic shock ... ...

Abstract Spontaneous rupture of mesenteric vasculature associated with fibromuscular dysplasia is an unreported phenomenon. We describe a case in a 28-year-old male with a history of chronic abdominal pain who presented to our facility in hemorrhagic shock secondary to a ruptured transverse mesocolon middle colic aneurysm status postemergent transverse colectomy. He was found to have chronic vertebral, renovisceral, and iliac aneurysms as well as acute superior and inferior mesenteric artery dissection and chronic bilateral vertebral artery dissections. He subsequently developed disseminated intravascular coagulopathy, resulting in saddle pulmonary embolus as well as right renal artery and splenic artery thrombosis. Ultimately, the patient expired.
MeSH term(s) Adult ; Aneurysm, Dissecting/diagnostic imaging ; Aneurysm, Dissecting/etiology ; Aneurysm, Dissecting/surgery ; Aneurysm, Ruptured/diagnostic imaging ; Aneurysm, Ruptured/etiology ; Aneurysm, Ruptured/surgery ; Fatal Outcome ; Fibromuscular Dysplasia/complications ; Fibromuscular Dysplasia/diagnostic imaging ; Fibromuscular Dysplasia/surgery ; Humans ; Male ; Mesenteric Arteries/diagnostic imaging ; Mesenteric Arteries/surgery ; Rupture, Spontaneous ; Shock, Hemorrhagic/etiology ; Treatment Outcome
Language English
Publishing date 2020-09-16
Publishing country Netherlands
Document type Case Reports
ZDB-ID 1027366-9
ISSN 1615-5947 ; 0890-5096
ISSN (online) 1615-5947
ISSN 0890-5096
DOI 10.1016/j.avsg.2020.08.157
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