Massive Hemoperitoneum Caused by Rupture of an Aneurysm of the Marginal Artery of Drummond

Journal Article · Tue Jul 15 00:00:00 EDT 2008 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-007-9117-3· OSTI ID:21450401

Saleem, Talha Bin; Nejim, Ali ^[1]; Leveson, Stephen H ^[2]

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1. Airedale General Hospital (United Kingdom)
2. Hull York Medical School (United Kingdom)

Aneurysms of visceral arteries are uncommon and their rupture is rare. We report a case of an aneurysm of the marginal artery of Drummond, which was complicated by rupture leading to massive hemoperitoneum. A selective superior mesenteric arteriogram suggested the possibility of segmental arterial mediolysis (SAM) as a possible etiology and this was confirmed by histological examination. This is the first report of symptomatic SAM of the marginal artery of Drummond to date. This case demonstrates that the marginal artery of Drummond should be considered during the angiographic explorations for the source of hemoperitoneum. Management options are discussed.

• OSTI ID: 21450401
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 31, Issue 2; Other Information: DOI: 10.1007/s00270-007-9117-3; Copyright (c) 2008 Springer Science+Business Media, LLC; ISSN 0174-1551
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
BLOOD
PERITONEUM
RUPTURES
BIOLOGICAL MATERIALS
BLOOD VESSELS
BODY
BODY FLUIDS
CARDIOVASCULAR SYSTEM
FAILURES
MATERIALS
MEMBRANES
ORGANS
SEROUS MEMBRANES