2020 Volume 40 Issue 3 Pages 517-520
A 48–year–old man was admitted to the emergency department of a local hospital because of acute abdominal pain and loss of consciousness. Abdominal enhanced computed tomography revealed a ruptured aneurysm of the middle colic artery (MCA) and he was referred to our hospital. An abdominal angiogram also revealed an aneurysm in the main trunk of the MCA. During angiography, we confirmed blood flow between the right branch of the MCA and the right colic artery and between the left branch of the MCA and the marginal artery of the descending colon. Therefore, we performed coil embolization for the aneurysm. The postoperative course was uneventful. Angiography is useful for the diagnosis of ruptured aneurysm, if the vital signs are stable. Post embolization resection of the colon can be avoided depending upon the location of the middle colic aneurysm.
