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Fig. 2. The 71-year-old male patient with a history of immunoglobulin A nephropathy presented with general edema, nausea, and vomiting. His vital signs were unstable and his hemoglobin had dropped. (A) Computed tomography scan shows mesenteric hematoma (asterisk) with a dissecting aneurysm (arrow) in the jejunal branch of the superior mesenteric artery (SMA). (B) The SMA and selective small-bowel branch angiograms show ectatic change with a dissecting aneurysm (arrow) of the jejunal branch. (C) Glue (n-butyl cyanoacrylate, 1:2 mixture with lipiodol) was used to embolize the proximal and distal parts, as well as the aneurysm, itself. (D) The final SMA and common hepatic artery angiograms show complete embolization of the aneurysm as well as the proximal/distal parts.
Gastrointestinal Intervention 2016;5:22~26 https://doi.org/10.18528/gii150012
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