SUPERÝOR MEZENTER ARTER PSÖDOANEVRÝZMASI

PSEUDOANEURYSM OF THE SUPERIOR MESENTERIC ARTERY

The patient is male who was 18 years old. Approximately 1 month ago he was taken laparotomy at another hospital because of the penetrating abdominal trauma. It was found a perforation on the surface of the stomach in 1 cm diameter and injury of mesentery of the small intestine. Perforation had repaired primarily and nothing had done anything to the retroperitoneal space and mesentery of the small intestine. He was discharged in the fifteenth day after operation without any problem. He was referred to our center because of an acute abdominal pain, restlessness, and hypotension. We found an aneurysm and hematoma of SMA with doppler ultrasonography and spiral abdominal computerized tomography. We excised pseudoaneurysm of SMA with laparotomy and SMA was repaired primarily. After operation we performed angiography of SMA. We couldn't find any patology on the SMA. After that the patient was discharged in the postoperative thirteenth day without any complication and problem. We concluded that, in the patients which has penetrating abdominal injury, mesenteric pseudoaneurysm must be keep in mind and in such case the surgeon must be explore the abdominal vascular tree.