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Visceral artery pseudoaneurysms: two case reports and a review of the literature

Overview of attention for article published in Journal of Medical Case Reports, May 2017
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Title
Visceral artery pseudoaneurysms: two case reports and a review of the literature
Published in
Journal of Medical Case Reports, May 2017
DOI 10.1186/s13256-017-1291-6
Pubmed ID
Authors

Amna Abdelgabar, Olivier d’Archambeau, Joachim Maes, Filip Van den Brande, Peter Cools, Roger R. Rutsaert

Abstract

Visceral artery pseudoaneurysms are relatively rare but have a high mortality rate in case of rupture. Their detection in the last decades is rising due to an increased use of computed tomography and angiography. However, due to the nonspecific nature of the clinical symptoms and signs, diagnosis is often delayed or missed. We describe two cases of patients presenting with nonspecific abdominal complaints and anemia leading to a diagnosis of visceral pseudoaneurysm. Both cases are successfully treated with a different endovascular intervention. The first case is a 67-year-old Caucasian man presenting with diffuse abdominal pain, vomiting, diarrhea, and weight loss. Digital angiography showed a complex pseudoaneurysm of the superior mesenteric artery. The patient was treated with stent placement and selective embolization of the afferent branches. The second patient is a 78-year-old Caucasian man with a history of chronic pancreatitis admitted with epigastric pain, rectal bleeding and melena. Angiography showed a pseudoaneurysm of the gastroduodenal artery. The patient was successfully treated with coil embolization. We report two cases of visceral pseudoaneurysms and review the literature concerning etiology, presentation, diagnosis, and treatment. Visceral artery pseudoaneurysms should be considered in the differential diagnosis of a patient with nonspecific abdominal symptoms. Diagnosis is often made with computed tomography or computed tomography angiography but digital angiography remains the gold standard. Treatment options include surgical, endovascular or percutaneous interventions. The choice of treatment is case specific.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 5 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 5 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 2 40%
Researcher 2 40%
Student > Ph. D. Student 1 20%
Readers by discipline Count As %
Medicine and Dentistry 5 100%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 May 2017.
All research outputs
#9,071,189
of 11,330,364 outputs
Outputs from Journal of Medical Case Reports
#951
of 1,684 outputs
Outputs of similar age
#189,434
of 265,280 outputs
Outputs of similar age from Journal of Medical Case Reports
#39
of 83 outputs
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We're also able to compare this research output to 83 others from the same source and published within six weeks on either side of this one. This one is in the 14th percentile – i.e., 14% of its contemporaries scored the same or lower than it.