Excessive oral amphetamine use as a possible cause of renal and splanchnic arterial aneurysms: A report of two cases Theodore H. Welling, BS, David M.

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Presentation transcript:

Excessive oral amphetamine use as a possible cause of renal and splanchnic arterial aneurysms: A report of two cases Theodore H. Welling, BS, David M. Williams, MD, James C. Stanley, MD Journal of Vascular Surgery Volume 28, Issue 4, Pages 727-731 (October 1998) DOI: 10.1016/S0741-5214(98)70103-X Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Case 1. Endoscopic demonstration of active bleeding (arrow) from ampulla of Vater (courtesy of Dr John D. Serini, Grand Rapids, Mich). Journal of Vascular Surgery 1998 28, 727-731DOI: (10.1016/S0741-5214(98)70103-X) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Case 1. Selective celiac arteriogram showing amorphous-fusiform aneurysm of common hepatic artery that extends into left hepatic artery (arrow). Numerous biliary collateral vessels (arrowheads) are indicative of chronic occlusion of right hepatic artery. Journal of Vascular Surgery 1998 28, 727-731DOI: (10.1016/S0741-5214(98)70103-X) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Case 1. Selective superior mesenteric arteriogram shows irregular-fusiform aneurysmal dilation of proximal artery (arrow) and small aneurysm of jejunal branch (arrowhead). Journal of Vascular Surgery 1998 28, 727-731DOI: (10.1016/S0741-5214(98)70103-X) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Case 1. Selective celiac arteriogram documents occlusion of common and left hepatic arteries with Gianturco (Cook, Bloomington, Ind) coils and reconstitution of right and left lobe intrahepatic branches (arrowheads) with biliary collateral vessels. Journal of Vascular Surgery 1998 28, 727-731DOI: (10.1016/S0741-5214(98)70103-X) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Case 2. Selective celiac arteriogram shows small hepatic artery aneurysms (arrowheads) and larger splenic artery aneurysms affecting proximal and middle portion of this vessel (arrows). Journal of Vascular Surgery 1998 28, 727-731DOI: (10.1016/S0741-5214(98)70103-X) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 6 Case 2. Selective superior mesenteric artery arteriogram shows multiple proximal jejunal branch aneurysmal dilations. Journal of Vascular Surgery 1998 28, 727-731DOI: (10.1016/S0741-5214(98)70103-X) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 7 Case 2. Selective renal artery arteriogram exhibits irregular and tortuous vessels and microaneurysms consistent with arteritis. Journal of Vascular Surgery 1998 28, 727-731DOI: (10.1016/S0741-5214(98)70103-X) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions