A mycotic aneurysm of a jejunal branch treated by aneurysmectomy without bowel resection

Hubert Provost; Laura M Drudi; Frank Schwenter; Stéphane Elkouri; Jean-François Blair; Philippe Charbonneau

doi:10.1016/j.jvscit.2023.101364

A mycotic aneurysm of a jejunal branch treated by aneurysmectomy without bowel resection

J Vasc Surg Cases Innov Tech. 2023 Nov 4;10(1):101364. doi: 10.1016/j.jvscit.2023.101364. eCollection 2024 Feb.

Authors

Hubert Provost¹, Laura M Drudi², Frank Schwenter³, Stéphane Elkouri^{2

4}, Jean-François Blair^{2

4}, Philippe Charbonneau^{2

4}

Affiliations

¹ Faculty of Medicine, Université de Montréal, Montreal, QC, Canada.
² Division of Vascular Surgery, Department of Surgery, Centre Hospitalier de l'Université de Montréal, Montréal, QC, Canada.
³ Department of General Surgery, Centre Hospitalier de l'Université de Montréal, Montréal, QC, Canada.
⁴ Aortic Centre, Division of Vascular Surgery, Department of Surgery, Centre Hospitalier de l'Université de Montréal, Montréal, QC, Canada.

Abstract

Jejunal artery pseudoaneurysms are extremely rare, accounting for <1% of all visceral artery pseudoaneurysms. Fewer than 50 cases were reported in literature during the previous century. This case report describes the case of a 72-year-old man who underwent aneurysmectomy to treat a 21-mm mycotic jejunal artery pseudoaneurysm found in the setting of endocarditis. This pseudoaneurysm was treated with laparotomy, and gentle dissection of the tissues surrounding the pseudoaneurysm was performed before ligation and resection. This allowed for vascular collateral branch preservation, which, thus, avoided concomitant bowel resection. This report highlights the feasibility of this technique.

Keywords: Aneurysmectomy; Jejunal aneurysm; Mesenteric aneurysm; Mycotic aneurysm; Superior mesenteric artery aneurysm.

Publication types

Case Reports