Inferior Mesenteric Artery Aneurysm Combined With Renal Artery Stenosis in a Patient With Neurofibromatosis

Abstract

A case is reported of an inferior mesenteric artery aneurysm that starts approximately 1 cm from its origin and ends at the proximal portion of the bifurcation of the sigmoidal and left colic arteries accompanied with complete absence of the celiac axis and superior mesenteric arteries. Additionally, left renal artery stenosis existed. The diagnosis was made by digital subtraction arteriography and confirmed by magnetic resonance arteriogram. Disease involving the inferior mesenteric artery is extremely uncommon. This may be the first reported case of neurofibromatosis in combination with renal artery stenosis and inferior mesenteric artery aneurysm associated with celiac and superior mesenteric artery occlusion and treated surgically.

Keywords

inferior mesentericartery aneurysm neurofibromatosis celia caxis

Get full access to this article

View all access options for this article.

References

Huffman JL , Gahtan V , Bowers VD , Mills JL . Neurofibromatosis and arterial aneurysms. Am Surg. 1996;62:311-314.

Diettrich NA , Cacioppo JC , Ying DPW . Massive gastrointestinal hemorrhage caused by rupture of a jejunal branch artery aneurysm. J Vasc Surg. 1988;8:187-189.

Carr SC , Mahvi DM , Hoch JR , Archer CW , Turnipseed WD . Visceral artery aneurysm rupture. J Vasc Surg. 2001;33:806-811.

Rokke O , Sondenaa K , Amundsen S , Bjerke-Larssen T , Jensen D . The diagnosis and management of splanchnic artery aneurysms. Scand J Gastroenterol. 1996;31:737-743.

Zelenock GB , Stanley JC . Splanchnic artery aneurysms In: Rutherford RB , ed. Vascular Surgery. 5th ed. Philadelphia: WB Saunders; 2000:1369-1382.

Chiesa R , Astore D , Guzzo G , et al. Visceral artery aneurysms. Ann Vasc Surg 2005;19:42-48.

Carr SC , Pearce WH , Vogelzang RL , McCarthy WJ , Nemcek AA Jr , Yao JS . Current management of visceral artery aneurysms. Surgery. 1996;120:627-633.

Sharma AK . Renal artery aneurysm, hypertension and neurofibromatosis. J R Soc Med. 1991;84:373-374.

Criado E , Izquierdo L , Lujan S , Puras E , del Mar Espino M . Abdominalaortic coarctation, renovascular hypertension, and neurofibromatosis. Ann Vasc Surg. 2002;16:363-367.

10.

Fienman NL , Yakovac WC . Neurofibromatosis in childhood. J Pediatr. 1970;76:339-346.

11.

Nakhoul F , Green J , Angel A , Ofer A , Ben-Izhak O , Lewin M . Renovascular hypertension associated with neurofibromatosis: two cases and review of the literature. Clin Nephrol. 2001;55(4):322-326.

12.

McTaggart S , Gelati S , Walker RG , Powell HR , Jones CL . Evaluation and long-term outcome of pediatric renovascular hypertension. Pediatr Nephrol. 2000;14:1022-1029.