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Color Doppler sonography for preoperative diagnosis of an aneurysm of the ileal branch of the superior mesenteric artery
Author(s) -
Chiu HanMo,
Wang HsiuPo,
Lin MingTsan,
Lee YiChia,
Wu MingShiang,
Lin JawTown
Publication year - 2002
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.10070
Subject(s) - medicine , radiology , aneurysm , superior mesenteric artery , angiography , color doppler , magnetic resonance angiography , abdominal pain , inferior mesenteric artery , doppler sonography , magnetic resonance imaging , surgery , ultrasonography
Aneurysms of the superior mesenteric artery are uncommon, and aneurysms of its branches occur even less frequently. We report the case of a 60‐year‐old man with an aneurysm of the ileal branch of the superior mesenteric artery whose initial symptom was abdominal pain. Gray‐scale and color Doppler sonography provided noninvasive, accurate preoperative identification of the aneurysm despite its uncommon location, a small branch of the superior mesenteric artery. CT and conventional and magnetic resonance angiography confirmed the sonographic diagnosis. The aneurysm was resected successfully, and the patient's postoperative course was uneventful. Although angiography is required for a definitive diagnosis and for surgical planning, sonography is a useful tool for preoperative evaluation and diagnosis of such aneurysms. © 2002 Wiley Periodicals, Inc. J Clin Ultrasound 30:308–311, 2002; Published online in Wiley InterScience (www.interscience.wiley.com). DOI: 10.1002/jcu.10070