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Updates in the Management of Non-traumatic Abdominal Vascular Emergencies (Abdominal Aortoiliac Aneurysms, Intestinal Ischemia, Splanchnic Aneurysms)

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Operative Techniques and Recent Advances in Acute Care and Emergency Surgery

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Abstract

Aortoiliac aneurysm, splanchnic aneurysms, and intestinal ischemia are potentially life-threatening conditions. Every year in Europe, 220,000 people received a diagnosis of nominal abdominal aortic aneurysm; splanchnic aneurysms and intestinal ischemia are rarer conditions.

Aneurysms, in general, are asymptomatic till the time of their rupture, while acute mesenteric ischemia is characterized by peculiar symptoms that can be absent in 20–25% of patients.

CT scan is the exam of choice for all these three conditions and allows to get a prompt diagnosis. Treatment in emergency is mandatory; historically open surgery was the only choice for patients affected by these dangerous diseases, with a high rate of mortality and complications. The endovascular revolution has introduced many different techniques less invasive, with a high rate of clinical and surgical success, able in some cases to substitute completely or partially (hybrid procedures) the open ones.

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Notes

  1. 1.

    Pain in the tip of the left shoulder.

  2. 2.

    Treatment is the same for aneurysm or pseudoaneurysm; now we’ll indicate both lesions with the term “aneurysm.”

  3. 3.

    As for other VAAs, their site and morphology condition the kind of treatment (mainly embolization or placement of covered stent).

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Author information

Authors and Affiliations

  1. Vascular Surgery Division, CardioToracoVascular Department, Niguarda Hospital, Milan, Italy

    P. Tracanelli, M. T. Occhiuto & F. Romani

  2. Interventional Radiology Unit, Niguarda Hospital, Milan, Italy

    R. Vercelli & A. Rampoldi

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  1. P. Tracanelli
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  2. M. T. Occhiuto
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  3. R. Vercelli
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  4. A. Rampoldi
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  5. F. Romani
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Corresponding author

Correspondence to F. Romani .

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Editors and Affiliations

  1. Dipartimento di Emergenza Urgenza, ASST Grande Ospedale Metropolitano Niguarda, Milan, Milano, Italy

    Paolo Aseni

  2. School of Medicine, University of Milano-Bicocca, Niguarda Hospital, Milan, Milano, Italy

    Luciano De Carlis

  3. Department of Cardiac Surgery, IRCCS MultiMedica, Milan, Milano, Italy

    Alessandro Mazzola

  4. Department of Cardiac Surgery, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy

    Antonino M. Grande

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Tracanelli, P., Occhiuto, M.T., Vercelli, R., Rampoldi, A., Romani, F. (2019). Updates in the Management of Non-traumatic Abdominal Vascular Emergencies (Abdominal Aortoiliac Aneurysms, Intestinal Ischemia, Splanchnic Aneurysms). In: Aseni, P., De Carlis, L., Mazzola, A., Grande, A.M. (eds) Operative Techniques and Recent Advances in Acute Care and Emergency Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-95114-0_36

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