A case of pseudoaneurysm of the marginal artery of Drummond post-open abdominal aortic aneurysm (AAA) repair
Shahid, Mehrqand Alawattegama, Lakna H Latif, Sherif A Popplewell, Matthew A Garnham, Andrew Wall, Michael L.
Shahid, Mehrqand
Alawattegama, Lakna H
Latif, Sherif A
Popplewell, Matthew A
Garnham, Andrew
Wall, Michael L.
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Affiliation
The Dudley Group NHS Foundation Trust
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Publication date
2024-11-20
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Abstract
We present the first published account of a pseudoaneurysm of the Marginal artery of Drummond (MAoD) following an emergency open surgical repair of an inflammatory abdominal aortic aneurysm, in which the inferior mesenteric artery was ligated. This was hypothesized to be an iatrogenic injury secondary to retraction of the colonic mesentery during dissection of the aneurysm neck. The risk of pseudoaneurysm growth and rupture versus bowel ischaemia were evaluated in the post-operative phase. Ultimately, the patient underwent successful interventional embolization of the MAoD with no signs of bowel ischaemia post-intervention.
Citation
Shahid M, Alawattegama LH, Latif SA, Popplewell MA, Garnham A, Wall ML. A case of pseudoaneurysm of the marginal artery of Drummond post-open abdominal aortic aneurysm (AAA) repair. J Surg Case Rep. 2024 Nov 19;2024(11):rjae706. doi: 10.1093/jscr/rjae706.