Management of a traumatic superior mesenteric artery injury using superselective angioembolization
We report the successful use of angioembolization to treat mesenteric bleeding in a patient who sustained blunt abdominal trauma. Angiography revealed extravasation from a distal branch of the right colic or ileocolic artery. Interventional radiology superselectively embolized a distal arterial bran...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-04-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428725000085 |
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| author | Martha Ennis, MD Jurgienne Umali, MD David Pace, MD, FRCSC |
| author_facet | Martha Ennis, MD Jurgienne Umali, MD David Pace, MD, FRCSC |
| author_sort | Martha Ennis, MD |
| collection | DOAJ |
| description | We report the successful use of angioembolization to treat mesenteric bleeding in a patient who sustained blunt abdominal trauma. Angiography revealed extravasation from a distal branch of the right colic or ileocolic artery. Interventional radiology superselectively embolized a distal arterial branch supplying the ileum. Total hospital stay was 4 days. Laparotomy is the standard treatment for active mesenteric bleeding. This case highlights the usefulness of superselective embolization to mitigate the need for surgical intervention in a patient with active mesenteric bleeding. Treatment outcomes depend on close clinical monitoring for intestinal ischemia and patient counselling on the potential for surgical intervention. |
| format | Article |
| id | doaj-art-d205c631bc1141dd9327e4eee30ae3c2 |
| institution | OA Journals |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-d205c631bc1141dd9327e4eee30ae3c22025-08-20T01:57:39ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-04-0111210172610.1016/j.jvscit.2025.101726Management of a traumatic superior mesenteric artery injury using superselective angioembolizationMartha Ennis, MD0Jurgienne Umali, MD1David Pace, MD, FRCSC2Discipline of Surgery, Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland and Labrador, CanadaCorrespondence: Jurgienne Umali, MD, Discipline of Surgery, Faculty of Medicine, Memorial University of Newfoundland, 300 Prince Philip Dr, St. John's, Newfoundland and Labrador A1B 3V6, Canada; Discipline of Surgery, Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland and Labrador, CanadaDiscipline of Surgery, Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland and Labrador, CanadaWe report the successful use of angioembolization to treat mesenteric bleeding in a patient who sustained blunt abdominal trauma. Angiography revealed extravasation from a distal branch of the right colic or ileocolic artery. Interventional radiology superselectively embolized a distal arterial branch supplying the ileum. Total hospital stay was 4 days. Laparotomy is the standard treatment for active mesenteric bleeding. This case highlights the usefulness of superselective embolization to mitigate the need for surgical intervention in a patient with active mesenteric bleeding. Treatment outcomes depend on close clinical monitoring for intestinal ischemia and patient counselling on the potential for surgical intervention.http://www.sciencedirect.com/science/article/pii/S2468428725000085Blunt traumaAngioembolizationSuperior mesenteric artery injurySMA injury |
| spellingShingle | Martha Ennis, MD Jurgienne Umali, MD David Pace, MD, FRCSC Management of a traumatic superior mesenteric artery injury using superselective angioembolization Journal of Vascular Surgery Cases and Innovative Techniques Blunt trauma Angioembolization Superior mesenteric artery injury SMA injury |
| title | Management of a traumatic superior mesenteric artery injury using superselective angioembolization |
| title_full | Management of a traumatic superior mesenteric artery injury using superselective angioembolization |
| title_fullStr | Management of a traumatic superior mesenteric artery injury using superselective angioembolization |
| title_full_unstemmed | Management of a traumatic superior mesenteric artery injury using superselective angioembolization |
| title_short | Management of a traumatic superior mesenteric artery injury using superselective angioembolization |
| title_sort | management of a traumatic superior mesenteric artery injury using superselective angioembolization |
| topic | Blunt trauma Angioembolization Superior mesenteric artery injury SMA injury |
| url | http://www.sciencedirect.com/science/article/pii/S2468428725000085 |
| work_keys_str_mv | AT marthaennismd managementofatraumaticsuperiormesentericarteryinjuryusingsuperselectiveangioembolization AT jurgienneumalimd managementofatraumaticsuperiormesentericarteryinjuryusingsuperselectiveangioembolization AT davidpacemdfrcsc managementofatraumaticsuperiormesentericarteryinjuryusingsuperselectiveangioembolization |