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Color Doppler sonography for preoperative diagnosis of an aneurysm of the ileal branch of the superior mesenteric artery

✍ Scribed by Han-Mo Chiu; Hsiu-Po Wang; Ming-Tsan Lin; Yi-Chia Lee; Ming-Shiang Wu; Jaw-Town Lin


Publisher
John Wiley and Sons
Year
2002
Tongue
English
Weight
209 KB
Volume
30
Category
Article
ISSN
0091-2751

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✦ Synopsis


Abstract

Aneurysms of the superior mesenteric artery are uncommon, and aneurysms of its branches occur even less frequently. We report the case of a 60‐year‐old man with an aneurysm of the ileal branch of the superior mesenteric artery whose initial symptom was abdominal pain. Gray‐scale and color Doppler sonography provided noninvasive, accurate preoperative identification of the aneurysm despite its uncommon location, a small branch of the superior mesenteric artery. CT and conventional and magnetic resonance angiography confirmed the sonographic diagnosis. The aneurysm was resected successfully, and the patient's postoperative course was uneventful. Although angiography is required for a definitive diagnosis and for surgical planning, sonography is a useful tool for preoperative evaluation and diagnosis of such aneurysms. Β© 2002 Wiley Periodicals, Inc. J Clin Ultrasound 30:308–311, 2002; Published online in Wiley InterScience (www.interscience.wiley.com). DOI: 10.1002/jcu.10070


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