Case Report: Acute superior mesenteric artery embolism combined with abdominal aortic aneurysm in an elderly female patient
BackgroundBoth acute superior mesenteric artery embolism (ASMAE) and abdominal aortic aneurysm (AAA) are insidious conditions that can lead to fatal outcomes. The coexistence of ASMAE and AAA in a single patient is rare.Methods and resultsA 78-year-old female patient presented to our hospital due to...
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Frontiers Media S.A.
2025-05-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1537980/full |
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| author | Ruixin Wu Guofei Huang Yang Zhou Junwen He Peiming Li |
| author_facet | Ruixin Wu Guofei Huang Yang Zhou Junwen He Peiming Li |
| author_sort | Ruixin Wu |
| collection | DOAJ |
| description | BackgroundBoth acute superior mesenteric artery embolism (ASMAE) and abdominal aortic aneurysm (AAA) are insidious conditions that can lead to fatal outcomes. The coexistence of ASMAE and AAA in a single patient is rare.Methods and resultsA 78-year-old female patient presented to our hospital due to abdominal pain for 10 h, with a diagnosis of AAA 2 h prior. Further evaluation through abdominal aorta computed tomography angiography (CTA) revealed the presence of both ASMAE and AAA. After a comprehensive assessment of her condition, treatment for ASMAE was prioritized. Digital subtraction angiography of the abdominal aorta and superior mesenteric artery (SMA) was performed, followed by local thrombolysis of the SMA embolism and two sessions of AngioJet mechanical thrombectomy. Once inflammation parameters have normalized and an active infection could be excluded, the patient subsequently underwent endovascular aneurysm repair (EVAR) for the AAA. Regular follow-up CTA over three years demonstrated that the SMA remained patent, and the abdominal aortic covered stent was intact, there were no significant endoleaks or thrombosis, with no evidence of stenosis in the abdominal aorta.ConclusionThe simultaneous occurrence of ASMAE and AAA is uncommon. ASMAE poses a significant threat to life and necessitates urgent treatment. Unruptured AAA can be treated electively once any contraindications have been addressed. |
| format | Article |
| id | doaj-art-de216bcc798a46e585af0ca4daa44976 |
| institution | OA Journals |
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| language | English |
| publishDate | 2025-05-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Surgery |
| spelling | doaj-art-de216bcc798a46e585af0ca4daa449762025-08-20T02:32:23ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-05-011210.3389/fsurg.2025.15379801537980Case Report: Acute superior mesenteric artery embolism combined with abdominal aortic aneurysm in an elderly female patientRuixin Wu0Guofei Huang1Yang Zhou2Junwen He3Peiming Li4School of Clinical Medicine, North Sichuan Medical College, Nanchong, ChinaDepartment of Vascular Surgery, Deyang People’s Hospital, Deyang, ChinaDepartment of Vascular Surgery, Deyang People’s Hospital, Deyang, ChinaDepartment of Vascular Surgery, Deyang People’s Hospital, Deyang, ChinaDepartment of Vascular Surgery, Deyang People’s Hospital, Deyang, ChinaBackgroundBoth acute superior mesenteric artery embolism (ASMAE) and abdominal aortic aneurysm (AAA) are insidious conditions that can lead to fatal outcomes. The coexistence of ASMAE and AAA in a single patient is rare.Methods and resultsA 78-year-old female patient presented to our hospital due to abdominal pain for 10 h, with a diagnosis of AAA 2 h prior. Further evaluation through abdominal aorta computed tomography angiography (CTA) revealed the presence of both ASMAE and AAA. After a comprehensive assessment of her condition, treatment for ASMAE was prioritized. Digital subtraction angiography of the abdominal aorta and superior mesenteric artery (SMA) was performed, followed by local thrombolysis of the SMA embolism and two sessions of AngioJet mechanical thrombectomy. Once inflammation parameters have normalized and an active infection could be excluded, the patient subsequently underwent endovascular aneurysm repair (EVAR) for the AAA. Regular follow-up CTA over three years demonstrated that the SMA remained patent, and the abdominal aortic covered stent was intact, there were no significant endoleaks or thrombosis, with no evidence of stenosis in the abdominal aorta.ConclusionThe simultaneous occurrence of ASMAE and AAA is uncommon. ASMAE poses a significant threat to life and necessitates urgent treatment. Unruptured AAA can be treated electively once any contraindications have been addressed.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1537980/fullacute superior mesenteric artery embolismabdominal aortic aneurysmAngioJet mechanical thrombectomyendovascular aneurysm repaircase report |
| spellingShingle | Ruixin Wu Guofei Huang Yang Zhou Junwen He Peiming Li Case Report: Acute superior mesenteric artery embolism combined with abdominal aortic aneurysm in an elderly female patient Frontiers in Surgery acute superior mesenteric artery embolism abdominal aortic aneurysm AngioJet mechanical thrombectomy endovascular aneurysm repair case report |
| title | Case Report: Acute superior mesenteric artery embolism combined with abdominal aortic aneurysm in an elderly female patient |
| title_full | Case Report: Acute superior mesenteric artery embolism combined with abdominal aortic aneurysm in an elderly female patient |
| title_fullStr | Case Report: Acute superior mesenteric artery embolism combined with abdominal aortic aneurysm in an elderly female patient |
| title_full_unstemmed | Case Report: Acute superior mesenteric artery embolism combined with abdominal aortic aneurysm in an elderly female patient |
| title_short | Case Report: Acute superior mesenteric artery embolism combined with abdominal aortic aneurysm in an elderly female patient |
| title_sort | case report acute superior mesenteric artery embolism combined with abdominal aortic aneurysm in an elderly female patient |
| topic | acute superior mesenteric artery embolism abdominal aortic aneurysm AngioJet mechanical thrombectomy endovascular aneurysm repair case report |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1537980/full |
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