Kim Sae Hee, Lee Moon-Soo, Han Hyun Young, Lee Hyo Min
Department of Internal Medicine, Eulji University Hospital, Daejeon, Republic of Korea.
Department of Surgery, Eulji University Hospital, Daejeon, Republic of Korea.
Ann Vasc Surg. 2019 Aug;59:310.e13-310.e16. doi: 10.1016/j.avsg.2018.12.099. Epub 2019 Feb 22.
A ruptured aneurysm of the middle colic artery (MCA) is extremely rare, and its etiology and optimal treatment are unclear. Previously, surgical intervention was the treatment of choice for ruptured visceral artery aneurysms. However, owing to recent advances in endovascular techniques, transcatheter arterial embolization has been recommended for the management of even ruptured splanchnic aneurysms in clinically stable patients without evidence of bowel ischemia. We report a case of a ruptured MCA aneurysm in a 52-year-old previously healthy man. Coil embolization was attempted successfully. In addition, 7 previously published cases of ruptured MCA aneurysms successfully treated by endovascular embolization were reviewed.
