World Journal of Emergency Surgery

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Open Access Case report

Endovascular treatment of a Superior Mesenteric Artery Syndrome variant secondary to traumatic pseudoaneurysm

Iain Au-Yong1, Nicholas FS Watson4*, Catherine L Boereboom4, Timothy E Bowling3, John F Abercrombie2 and Simon C Whitaker1

Author Affiliations

1 Department of Radiology, Nottingham University Hospitals NHS Trust, Derby Road, Nottingham, NG7 2UH, UK

2 Department of Gastrointestinal Surgery, Nottingham University Hospitals NHS Trust, Derby Road, Nottingham, NG7 2UH, UK

3 Clinical Nutrition Unit, Nottingham University Hospitals NHS Trust, Derby Road, Nottingham, NG7 2UH, UK

4 Department of Surgery, Royal Derby Hospital, Uttoxeter Road, Derby, DN22 3NE, UK

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World Journal of Emergency Surgery 2010, 5:7 doi:10.1186/1749-7922-5-7

Published: 8 March 2010

Abstract

Pseudoaneurysms related to the superior mesenteric artery (SMA) are a recognised complication of trauma to the vessel, and successful treatment with stenting has been previously described. We report the case of a patient who presented with obstruction of the fourth part of the duodenum secondary to a traumatic pseudoaneurysm, a hitherto unreported variant of superior mesenteric artery syndrome. Exclusion of the pseudoaneurysm and relief of the duodenal obstruction were simultaneously achieved by placement of a covered stent.