2018 Volume 27 Issue 1 Pages 39-43
A 24-year-old woman with an abdominal stab wound was found lying on the road and was admitted to the emergency room. Because she was in a state of hemorrhagic shock on her arrival, an emergency laparotomy with hepatorraphy and middle colic artery ligation was performed. On day 5 of admission, a superior mesenteric artery pseudoaneurysm (SMAPA) and arteriovenous fistula between the SMA and jejunal vein (SMAJVF) were discovered by computed tomography scan (CT). The size of the SMAPA gradually increased and a treatment to prevent SMAPA rupture was required. We decided to perform endovascular treatment, since 7 mm×25 mm VIABAHN endoprosthesis would cover the SMAPA without occluding the jejunal arteries. On Day 29 of admission, VIABAHN endoprosthesis placement to the SMA along with SMAJVF embolization was performed without complication. We report this rare case because this is the first report of VIABAHN endoprosthesis used for traumatic SMAPA with SMAJVF in Japan.
