Department of Vascular Surgery, Liaquat National Hospital and Medical College, Karachi, Pakistan.
J Pak Med Assoc. 2023 Apr;73(4):925-928. doi: 10.47391/JPMA.6859.
Superior mesenteric artery (SMA) aneurysm is a rare disease, especially if it is mycotic (infective) in origin. It is difficult to detect the problem during its initial natural course and usually presents in late phase due to its complications such as rupture, dissection, haemorrhage, and mesenteric ischaemia. Initially, the patient present with non-specific symptoms like vague colicky abdominal pain, nausea, vomiting, discomfort, malaise, and low-grade fever but prompt workup and intervention can lead to definitive diagnosis and uneventful outcome. This report describes the case of a 60-year-old male patient who presented with non-specific abdominal symptoms and, on workup, was diagnosed with superior mesenteric artery mycotic aneurysm. It was successfully treated surgically by resection of aneurysm and reconstruction of superior mesenteric artery by inter-positional Polytetrafluoroethylene (PTFE) synthetic vascular graft.
肠系膜上动脉（SMA）动脉瘤是一种罕见的疾病，特别是如果它是感染性（感染性）来源的。在其初始自然病程中很难发现该问题，并且由于其并发症（如破裂，夹层，出血和肠系膜缺血），通常在晚期出现。最初，患者表现出非特异性症状，如模糊的绞痛性腹痛，恶心，呕吐，不适，不适和低热，但及时的检查和干预可导致明确的诊断和顺利的结果。本报告描述了一名 60 岁男性患者的病例，该患者表现出非特异性腹部症状，经检查后被诊断为肠系膜上动脉感染性动脉瘤。通过切除动脉瘤并用间置聚四氟乙烯（PTFE）合成血管移植物重建肠系膜上动脉，成功地进行了手术治疗。
