ISSN ONLINE: 2558-815X
ISSN PRINT: 1584-9244
ISSN-L: 1584-9244

Ruptured ileal artery pseudoaneurysm: a rare cause of lower gastrointestinal hemorrhage


Introduction. Pseudoaneurysms of superior mesenteric artery and its branches are extremely rare but life threatening when complications occur. However, the diagnosis is often missed or delayed because of its non-specific signs and symptoms. Treatments depend on patient’s characteristics. In contrast to conventional open surgery, endovascular therapy has been reported as an effective option with minimally invasion, low complication, short recovery time and good outcome, especially in high-risk patients.
Case presentation. We describe a case of ruptured pseudoaneurysm of ileal artery, a branch of superior mesenteric artery, presenting with gastrointestinal bleeding signs while on anticoagulant therapy. Both upper and lower gastrointestinal endoscopy were inconclusive. The diagnosis was confirmed by angiography and the patient was successfully treated by coil embolization.
Conclusions. Ruptured pseudoaneurysm of superior mesenteric artery and its branches should be suspected in patients with unexplained gastrointestinal hemorrhage. Endovascular intervention is a feasible approach, especially in patients with multiple comorbidities and high bleeding risk.
Keywords: pseudoaneurysm, superior mesenteric artery, ileal artery, endovascular therapy, coil, gastrointestinal bleeding.

Full text sources
How to cite Email to Author

Address for correspondence:
Surgical Department, Can Tho Stroke International Services Hospital, Vietnam
Address: 397 Nguyen Van Cu street, An Binh Ward, Ninh Kieu District, Can Tho 900000, Vietnam

Duy Toan PHAM
Department of Chemistry, College of Natural Sciences, Can Tho University, Can Tho, Vietnam
Address: Can Tho University, Campus II, 3/2 Street, Can Tho 900000, Vietnam


Comments are closed.

Tran Chi C, Nguyen Kim P, Ngo Minh T, Pham DT. Ruptured ileal artery pseudoaneurysm: a rare cause of lower gastrointestinal hemorrhage. Arch Balk Med Union. 2021;56(4):494-498.