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Rupture of visceral artery aneurysm following elective spinal surgery: a case report and review

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Visceral artery aneurysms (VAA), an uncommon disorder of splanchnic vasculature, are associated with significant morbidity and mortality. Despite largely being amenable to endovascular therapies, the initial management of symptomatic VAA typically falls under the care of general surgeons. It is thus essential to have knowledge of the diagnosis and treatment of VAA and to be cognisant of deviations from normal gastrointestinal vasculature.

Case presentation

In this paper, we describe the case of a 72-year-old male presenting with a VAA following elective spinal surgery, followed by a review of the clinical diagnosis and management of VAA.


Visceral artery aneurysm must be considered as a differential diagnosis for acute abdominal pain and anaemia in the post-operative period following all major operations. Knowledge of the clinical features of VAA and indications for specific intervention are essential for all general surgeons. Furthermore, it is imperative to recognise deviations from normal vasculature of the gastrointestinal tract.

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The authors would like to thank Dr. Ravi Kumar Muli Jogi of SKG radiology for his assistance in providing interpretation of imaging for this project.

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Correspondence to Nelson Smith.

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Smith, N., Cohen, R. & Chetrit, S. Rupture of visceral artery aneurysm following elective spinal surgery: a case report and review. Int J Colorectal Dis (2020). https://doi.org/10.1007/s00384-020-03531-z

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  • Visceral artery
  • Aneurysm
  • Superior mesenteric artery
  • Diagnosis and management
  • Surgical therapy
  • Endovascular therapy