{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T19:31:50Z","timestamp":1770751910665,"version":"3.50.0"},"reference-count":13,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Visceral artery aneurysms (VAAs), unlike aortic aneurysms, are very rare, but are also a potentially lethal vascular disease. Jejunal artery aneurysms only account for less than 3% of VAAs, but have a 30% risk of rupture, with 20% death rate, presenting with only few and vague symptoms. We report the case of a 76-year-old man presenting at the emergency department (ED) with a crampy epigastric pain and vomiting. An ultrasound performed diagnosed free abdominal fluid and immediate CT scan diagnosed jejunal artery aneurysm spontaneously rupturing, followed by hypovolaemic shock. Emergent surgery was undertaken, and aneurysmectomy, followed by partial enterectomy with primary anastomosis were performed, because of segmentary jejunal ischaemia. The patient's recovery was unremarkable. High level of suspicion, rapid diagnosis capability and prompt surgical or endovascular intervention, as well as an effective teamwork in the ED are critical to avoid the devastating consequences of ruptured VAAs.<\/jats:p>","DOI":"10.1136\/bcr-2013-008772","type":"journal-article","created":{"date-parts":[[2013,6,14]],"date-time":"2013-06-14T03:12:21Z","timestamp":1371179541000},"page":"bcr2013008772","source":"Crossref","is-referenced-by-count":6,"title":["Ruptured jejunal artery aneurysm"],"prefix":"10.1136","volume":"2013","author":[{"given":"S\u00edlvia","family":"Costa","sequence":"first","affiliation":[{"name":"Department of Surgery and Department of Radiology, Centro Hospitalar Gaia\/Espinho, EPE, Gaia, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre","family":"Costa","sequence":"additional","affiliation":[{"name":"Department of Surgery and Department of Radiology, Centro Hospitalar Gaia\/Espinho, EPE, Gaia, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiago","family":"Pereira","sequence":"additional","affiliation":[{"name":"Department of Surgery and Department of Radiology, Centro Hospitalar Gaia\/Espinho, EPE, Gaia, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Maciel","sequence":"additional","affiliation":[{"name":"Department of Surgery and Department of Radiology, Centro Hospitalar Gaia\/Espinho, EPE, Gaia, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,6,13]]},"reference":[{"key":"2025082702044418000_2013.jun13_1.bcr2013008772.1","unstructured":"Sandri JL Souza Netto JM . Aneurismas das art\u00e9rias viscerais. In: Bonamigo TP Von Ristow A .eds Aneurismas.Rio de Janeiro: Dilivros, 2000:230\u201343, cap 25."},{"key":"2025082702044418000_2013.jun13_1.bcr2013008772.2","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1016\/j.jvs.2006.10.049","article-title":"The endovascular management of visceral artery aneurysms and pseudoaneurysms","volume":"2013","author":"Tulsyan","year":"2007","journal-title":"J Vasc Surg"},{"key":"2025082702044418000_2013.jun13_1.bcr2013008772.3","unstructured":"Miranda F Jr . Aneurismas viscerais e perif\u00e9ricos. In: Pitta GBB Castro AA Burihan E , eds. Angiologia e Cirurgia Vascular: guia ilustrado. Macei\u00f3: UNICSAL\/ECMAL & LAVA, 2003:1\u201310."},{"key":"2025082702044418000_2013.jun13_1.bcr2013008772.4","unstructured":"Brito CJ . Aneurismas Perif\u00e9ricos. In: Maffei FHA Last\u00f3ria S Yoshida WB Rollo HA .eds Doen\u00e7as Vasculares Perif\u00e9ricas, Segunda Ed. Medsi, 1995:557\u201376, cap 33."},{"key":"2025082702044418000_2013.jun13_1.bcr2013008772.5","unstructured":"Izukawa NM . Aneurismas das art\u00e9rias viscerais. In: Puech-Le\u00e3o P Kauffman P .eds Aneurismas Arteriais. S\u00e3o Paulo: Fundo editorial BYK, 1998:233, cap 22."},{"key":"2025082702044418000_2013.jun13_1.bcr2013008772.6","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1016\/S0733-8651(02)00067-X","article-title":"Mesenteric arterial occlusive and aneurysmal disease","volume":"2013","author":"Stanley","year":"2002","journal-title":"Cardiol Clin"},{"key":"2025082702044418000_2013.jun13_1.bcr2013008772.7","first-page":"23","article-title":"Segmental mediolytic arteritis: a clinical pathologic study","volume":"2013","author":"Slavin","year":"1976","journal-title":"Lab Invest"},{"key":"2025082702044418000_2013.jun13_1.bcr2013008772.8","first-page":"1463","article-title":"Segmental arterial mediolysis: CTA findings at presentation and follow-up","volume":"2013","author":"Michael","year":"2006","journal-title":"Am J Radiol"},{"key":"2025082702044418000_2013.jun13_1.bcr2013008772.9","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1510\/icvts.2010.243253","article-title":"Superior mesenteric artery branch-jejunal artery aneurysm","volume":"2013","author":"Kurdal","year":"2010","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2025082702044418000_2013.jun13_1.bcr2013008772.10","first-page":"167","article-title":"Role of selective arteriography in the diagnosis of a ruptured middle colic artery aneurysm","volume":"2013","author":"Dravid","year":"1994","journal-title":"Cardiovasc Intervent Radiol"},{"key":"2025082702044418000_2013.jun13_1.bcr2013008772.11","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1007\/BF02807359","article-title":"Embolization of a ruptured middle colic artery aneurysm","volume":"2013","author":"Naito","year":"1995","journal-title":"Cardiovasc Intervent Radiol"},{"key":"2025082702044418000_2013.jun13_1.bcr2013008772.12","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1016\/j.jvs.2006.06.027","article-title":"Management of aneurysms involving branches of the celiac and superior mesenteric arteries: a comparison of surgical and endovascular therapy","volume":"2013","author":"Sachdev","year":"2006","journal-title":"J Vasc Surg"},{"key":"2025082702044418000_2013.jun13_1.bcr2013008772.13","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1007\/BF02577358","article-title":"Embolization of a mesenteric artery aneurysm: case report","volume":"2013","author":"Ku","year":"1990","journal-title":"Cardiovasc Intervent Radiol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-008772","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:04:54Z","timestamp":1756285494000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-008772"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,6,13]]},"references-count":13,"alternative-id":["10.1136\/bcr-2013-008772"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-008772","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,6,13]]}}}