Raju Ravish Sanghi, Surnedi Murali Krishna, Sitaram Venkatramani, Govil Sanjay
Department of General Surgery Unit IV (Hepato-Biliary Pancreatic, Christian Medical College, Vellore, Tamil Nadu 632 004, India.
Trop Gastroenterol. 2005 Jul-Sep;26(3):139-40.
A 70 year old man presented with retrosternal and epigastric pain. He was in shock. The diagnosis on admission was acute myocardial infarction. CT scan of the abdomen showed coeliac and superior mesenteric artery (SMA) occlusion. In addition there appeared to be large collateral from the inferior mesenteric artery (IMA) with a retroperitoneal collection. He underwent emergency laparotomy and a ruptured IMA aneurysm was detected. The aneurysm was excised and the IMA was ligated. He developed progressive multi-system organ failure post operatively. We discuss the aetiology, presentation, diagnosis and treatment of IMA aneurysms.
一名70岁男性出现胸骨后和上腹部疼痛。他处于休克状态。入院诊断为急性心肌梗死。腹部CT扫描显示腹腔干和肠系膜上动脉（SMA）闭塞。此外，似乎有来自肠系膜下动脉（IMA）的大量侧支血管，并伴有腹膜后积液。他接受了急诊剖腹手术，发现一个破裂的IMA动脉瘤。切除动脉瘤并结扎IMA。术后他出现了进行性多系统器官衰竭。我们讨论了IMA动脉瘤的病因、表现、诊断和治疗。
