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403502

Surgical treatment of a huge gastroduodenal artery aneurysm with SMA occlusion: A Case Report

Article

Last updated: 13 Jan 2025

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Abstract

Aim: To present a rare case of a huge gastroduodenal artery aneurysm with superior mesenteric artery occlusion treated by open surgical means.
Case: A 62-year-old male patient presented with an abdominal mass and pain associated with new-onset vomiting. A computed tomography angiography revealed a fusiform gastroduodenal aneurysm with a maximum dimension of 11.9 cm, partial thrombosis and calcification, and associated orificial occlusion of the superior mesenteric artery (SMA). After multidisciplinary team discussion and patient consent, surgery was decided. An open midline incision was performed after the diagnosis was confirmed with intraoperative angiography. The aneurysm was opened, and the gastroduodenal artery was ligated. The SMA ostial occlusion was not repaired because of the absence of preoperative symptoms, signs of mesenteric ischemia, and rich collateral circulation. The patient was discharged 48 hours later.
Conclusion: Gastroduodenal artery aneurysms are rare pathologies with a high risk of rupture that require individualised therapeutic approaches to achieve optimal outcomes.

DOI

10.21608/ejsur.2024.324919.1216

Keywords

aneurysm, Visceral, rupture, Surgery, Case Report

Authors

First Name

Ehab

Last Name

Saad

MiddleName

-

Affiliation

Department of Vascular Surgery, Cardiovascular and Vascular Surgery Center, University Hospital, Mansoura University, Mansoura, Dakhaliya, Egypt.

Email

ehab_m_saad@mans.edu.eg

City

-

Orcid

-

First Name

Ahmed

Last Name

Ali

MiddleName

A.

Affiliation

Department of Vascular Surgery, Cardiovascular and Vascular Surgery Center, University Hospital, Mansoura University, Mansoura, Dakhaliya, Egypt.

Email

ahazhar92@live.com

City

Mansoura

Orcid

0000-0001-9209-7337

First Name

Mohamed

Last Name

Abdelgawad

MiddleName

S.

Affiliation

Department of Vascular Surgery, Cardiovascular and Vascular Surgery Center, University Hospital, Mansoura University, Mansoura, Dakhaliya, Egypt.

Email

mshukri33@gmail.com

City

-

Orcid

-

First Name

Tamer

Last Name

Khafagy

MiddleName

A.

Affiliation

Department of Vascular Surgery, Cardiovascular and Vascular Surgery Center, University Hospital, Mansoura University, Mansoura, Dakhaliya, Egypt.

Email

dr_tamerkhafagy@yahoo.com

City

-

Orcid

-

First Name

Samer

Last Name

Regal

MiddleName

E.

Affiliation

Department of Vascular Surgery, Cardiovascular and Vascular Surgery Center, University Hospital, Mansoura University, Mansoura, Dakhaliya, Egypt.

Email

samer24regal@yahoo.com

City

-

Orcid

-

First Name

Hossam

Last Name

ElWakeel

MiddleName

A.

Affiliation

Department of Vascular Surgery, Cardiovascular and Vascular Surgery Center, University Hospital, Mansoura University, Mansoura, Dakhaliya, Egypt.

Email

wakeel_hossam@hotmail.com

City

-

Orcid

-

Volume

44

Article Issue

1

Related Issue

52678

Issue Date

2025-01-01

Receive Date

2024-09-30

Publish Date

2025-01-01

Page Start

537

Page End

539

Print ISSN

1110-1121

Online ISSN

1687-7624

Article File

EJSUR_Volume 44_Issue 1_Pages 537-539.pdf

PDF . 515.1kB

Link

https://ejsur.journals.ekb.eg/article_403502.html

Detail API

http://journals.ekb.eg?_action=service&article_code=403502

Order

403,502

Type

Case Report

Type Code

3,096

Publication Type

Journal

Publication Title

The Egyptian Journal of Surgery

Publication Link

https://ejsur.journals.ekb.eg/

MainTitle

Surgical treatment of a huge gastroduodenal artery aneurysm with SMA occlusion: A Case Report

Details

Type

Article

Created At

13 Jan 2025