AI Article Synopsis
- A rare case of short-segment jejunal infarction occurred after an inferior mesenteric artery embolization in a patient with a history of endovascular abdominal aortic aneurysm repair.
- Potential explanations for the infarction include thromboembolism or injury to a branch of the superior mesenteric artery due to the use of a guide wire during the procedure.
- The condition was diagnosed via CT scan and managed by surgical resection of the affected bowel segment, followed by primary anastomosis to reconnect the intestines.
Article Abstract
We present a rare case of short-segment jejunal infarction following inferior mesenteric artery embolisation for type 2 endoleak in a patient who previously underwent endovascular repair of abdominal aortic aneurysm. Potential causes for the event might include thromboembolism or traumatic thrombosis of a jejunal branch of the superior mesenteric artery (SMA) caused by a buddy guide wire used to maintain the position of the long vascular sheath in the SMA hiatus. The condition was recognised on CT and treated with resection of the infarcted segment of the small bowel followed by primary anastomosis.
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| http://dx.doi.org/10.1136/bcr-2024-260330 | DOI Listing |
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