July 1984

Mesenteric Hematoma Suggests Rupture of Visceral Artery Aneurysm

Author Affiliations

From the Department of Surgery, University of Rochester and Genesee Hospital, Rochester, NY.

Arch Surg. 1984;119(7):863. doi:10.1001/archsurg.1984.01390190099023

• A 61-year-old man with nonspecific abdominal pain appeared to have an intramesenteric hematoma by computed tomographic scan. He suffered catastrophic intraperitoneal hemorrhage from a mesenteric branch-artery aneurysm several days later. A mesenteric hematoma, which can be diagnosed noninvasively, suggests a bleeding visceral artery aneurysm, and such findings warrant angiography followed by abdominal exploration if the presence of a visceral artery aneurysm is confirmed.

(Arch Surg 1984;119:863)