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Ruptured ileocolic artery pseudoaneurysm: case report.

Carolina Vasconcellos Sant'AnnaFelipe Garcia KuhlAlane Miranda LeiteSelma Regina de Oliveira RaymundoAndré Rodrigo MiquelinVitória AcarVitor Brumato FachiniMatheus Rafael Canuti
Published in: Jornal vascular brasileiro (2022)
Visceral artery aneurysms (VAAs) and visceral artery pseudoaneurysms (VAPAs) are rare conditions and are potentially lethal when they rupture. They are usually found as incidental findings on computed tomography (CT) scans of asymptomatic patients. Although conventional open surgery is currently considered the gold standard treatment, the endovascular approach has gained prominence as a minimally invasive procedure with lower surgical risk. In this approach, use of coil embolization in saccular VAAs and VAPAs and implantation of flow-modulating stents constitute alternative treatments for fusiform aneurysms. We present the case of a 51-year-old female patient complaining of acute abdominal pain, tachycardia, and hypotension, with evidence of abdominal bleeding on CT angiography, who was diagnosed with a ruptured ileocolic artery (ICA) pseudoaneurysm. She underwent early endovascular treatment for ICA embolization, which was successful and achieved clinical improvement.
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