A fifty-three-year-old man came to our hospital complaining of abdominal pain. Computed tomography (CT) revealed dissection of the superior mesenteric artery. We chose the conservative therapy. At 9th day, duplex ultrasonography revealed the direction of the retrograde blood flow in the false lumen. The isolated splanchnic artery dissection is relatively rare, but in late years the reports of this disease are increasing. The duplex ultrasonography is useful for a diagnosis and observation of the splanchnic artery dissection.
A 62 years old man, who had been dependent on peritoneal dialysis before three years ago, had a diagnosis of abdominal aortic aneurysm and underwent endovascular aneurysm repair, but the three times catheter intervention was required because of the intractable type II endoleak. Open surgery was mandatory because of the constant dilation of abdominal aortic aneurysm. In operation, the abdominal adhesion was not founded. Ligation of the media sacral artery and lumber arteries was performed. Open surgery could be safely conducted because of the relatively short peritoneal dialysis period and no infectious event.
Most of the cases of abdominal aortic aneurysm (AAA) are asymptomatic, whereas cases of AAA with preoperative gastrointestinal symptoms are relatively rare. A-70-year-old man was admitted on our hospital with vomiting and abdominal distension. Computed tomography revealed an AAA with a maximum diameter of 70 mm and the huge expanded stomach and duodenum. The third portion of the duodenum was compressed between the AAA and abdominal wall. The patient underwent conservative treatment, and 8 days later, graft replacement of the abdominal aorta was performed. Here, we report a case of duodenal obstruction caused by AAA.
A 77 year-old-man presented with right leg pain. The enhanced CT scan showed a right deep femoral artery aneurysm measuring 35 mm and necrosis of the femoral muscle. We conclude the necrosis was caused by embolism. We performed arterial reconstruction with ePTFE graft between the common femoral artery to the superficial femoral artery and deep femoral artery. The postoperative course was uneventful.