Arterial fibrodysplasia: Rapid progression complicated by rupture of a visceral aneurysm into the gastrointestinal tract G. den Butter, M.D., J.H. van.

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Presentation transcript:

Arterial fibrodysplasia: Rapid progression complicated by rupture of a visceral aneurysm into the gastrointestinal tract G. den Butter, M.D., J.H. van Bockel, M.D., J.C.N.M. Aarts, M.D. Journal of Vascular Surgery Volume 7, Issue 3, Pages 449-453 (March 1988) DOI: 10.1016/0741-5214(88)90445-4 Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Infrarenal aortoiliac aneurysm with stenosis and dissection (arrow). Journal of Vascular Surgery 1988 7, 449-453DOI: (10.1016/0741-5214(88)90445-4) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Magnification of Fig. 1 with string and beads appearance of external iliac arteries (arrows) typical of fibrodysplasia. Journal of Vascular Surgery 1988 7, 449-453DOI: (10.1016/0741-5214(88)90445-4) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Selective angiogram of the superior mesenteric artery with small aneurysm (arrow), situated 5 cm from its origin of the aorta. Journal of Vascular Surgery 1988 7, 449-453DOI: (10.1016/0741-5214(88)90445-4) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Slight vessel wall irregularities of the right renal artery (arrow) and normal left renal artery. Journal of Vascular Surgery 1988 7, 449-453DOI: (10.1016/0741-5214(88)90445-4) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 A, Low-power photomicrograph of the superior mesenteric artery wall shows intimal fibrosis (*), loss of smooth muscle cells with development of fibrosis (arrow-head), and disruption of elastic fibers (arrow). (Periodic acid—Schiff stain; original magnification × 50.) B, Detail of elastic fiber disruption and accumulation of fibroblasts (*). (Elastic—van Gieson stain; original magnification × 100.) Journal of Vascular Surgery 1988 7, 449-453DOI: (10.1016/0741-5214(88)90445-4) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 6 A, Arterial phase of selective angiography of superior mesenteric artery (SMA). Early phase of visualization of aneurysm (arrow) of middle colic artery. 1 = SMA; 2 = branches of SMA; 3 = left and right renal pelvis. B, Venous phase. Clear visualization of aneurysm of middle colic artery (arrows). 1 = portal vein; 2 = branches of superior mesenteric vein; 3 = left and right renal pelvis. Journal of Vascular Surgery 1988 7, 449-453DOI: (10.1016/0741-5214(88)90445-4) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions