診断に難渋した腹腔動脈分枝瘤破裂の1 例

三戸 隆裕; 松尾 昌俊; 檜田 悟; 吉武 清伸; 和田 久美子; 新谷 悠介; 河野 通孝; 岡崎 悌之; 田山 慶一郎; 小川 雄司; 川波 喬; 小須賀 健一

doi:10.7133/jca.13-00031

Case Reports

A Case of a Ruptured Aneurysm of a Branch of Celiac Artery Having a Hard Time with the Diagnosis

Takahiro Mito, Atsutoshi Matsuo, Satoru Hida, Kiyonobu Yoshitake, Kumiko Wada, Yusuke Shintani, Michitaka Kouno, Teiji Okazaki, Keiichiro Tayama, Yuji Ogawa, Takashi Kawanami, Kenichi Kosuga

Author information

Takahiro Mito
Department of Cardiology, Cardiovascular Center, Munakata Suikokai General Hospital, Fukuoka, Japan
Atsutoshi Matsuo
Department of Cardiology, Cardiovascular Center, Munakata Suikokai General Hospital, Fukuoka, Japan
Satoru Hida
Department of Cardiology, Cardiovascular Center, Munakata Suikokai General Hospital, Fukuoka, Japan
Kiyonobu Yoshitake
Department of Cardiology, Cardiovascular Center, Munakata Suikokai General Hospital, Fukuoka, Japan
Kumiko Wada
Department of Cardiovascular Surgery, Cardiovascular Center, Munakata Suikokai General Hospital, Fukuoka, Japan
Yusuke Shintani
Department of Cardiovascular Surgery, Cardiovascular Center, Munakata Suikokai General Hospital, Fukuoka, Japan
Michitaka Kouno
Department of Cardiovascular Surgery, Cardiovascular Center, Munakata Suikokai General Hospital, Fukuoka, Japan
Teiji Okazaki
Department of Cardiovascular Surgery, Cardiovascular Center, Munakata Suikokai General Hospital, Fukuoka, Japan
Keiichiro Tayama
Department of Cardiovascular Surgery, Cardiovascular Center, Munakata Suikokai General Hospital, Fukuoka, Japan
Yuji Ogawa
Department of Internal Medicine, Munakata Suikokai General Hospital, Fukuoka, Japan
Takashi Kawanami
Department of Radiology, Munakata Suikokai General Hospital, Fukuoka, Japan
Kenichi Kosuga
Department of Cardiovascular Surgery, Cardiovascular Center, Munakata Suikokai General Hospital, Fukuoka, Japan

Keywords: ruptured aneurysm, visceral artery aneurysm, 3D-CT

JOURNAL OPEN ACCESS

2014 Volume 54 Issue 4 Pages 61-65

DOI https://doi.org/10.7133/jca.13-00031

Details

Abstract

We report a rare case of a ruptured aneurysm of a branch of celiac artery diagnosed by overall judgment with 3D-computed tomography (3D-CT). A 69-year-old woman was transferred to our emergency unit complaining of severe abdominal pain with symptoms of shock. Abdominal CT revealed a tumor and a hematoma in the retroperitoneum. Immediately, she was treated conservatively with painkillers, fluid infusion and a blood transfusion. However, she rapidly fell into cardiopulmonary arrest 4 hours after arrival. Finally, we made a diagnosis of a ruptured aneurysm of accessory middle colic artery by 3D-CT.

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