Abstract
We studied the treatment provided in 12 patients of ruptured abdominal visceral artery aneurysm with concomitant hemorrhagic shock. Ruptured aneurysm sites were located in the pancreaticoduodenal (6 patients), colic (2 patients), splenic (2 patients), renal (1 patient), and gastroduodenal (1 patient) arteries. Initial emergency treatment including fluid administration and blood transfusion was provided, and contrast-enhanced computed tomography and angiography were performed for all patients. Ten patients were treated by interventional radiology (IVR) with coil embolization, and two patients underwent urgent laparotomy. All 12 patients survived and were discharged without major complications. IVR is an effective and less invasive for treating ruptured visceral artery aneurysms with concomitant hemorrhagic shock. However, it is necessary to consider emergent surgical treatment in cases to difficult to treat with IVR.
