Crohn’s Disease and Jejunal Artery Aneurysms: A Report of the First Case and a Review of the Literature
Abstract
:1. Introduction
2. Case Report
3. Materials and Methods
3.1. Literature Review
3.2. Statistical Analysis
4. Results
4.1. Study Population
4.2. Rupture Group
4.3. Non-Rupture Group
5. Discussion
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Author | Year | Total pt n. | JAAs/ IAAs pt n. | Age/ Sex | Site/ n | TRUE | Cause | Size (mm) | Rupture/ Pt n. | Main symptoms | MH/ HPT | Treatment | Outcome |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Reuter [16] | 1968 | 4 | 4 | 39/F | J | CONG | 6 | no | - | aneurysmectomy | uneventful | ||
72/F | I | yes | ATS | 3.5 | no | asymptomatic | - | - | - | ||||
57/F | I | ATS | 11 | no | - | - | - | ||||||
76/M | I | ATS | 4 | yes | hypotension | MH | RHC | death (MI) | |||||
Hoehn [17] | 1968 | 2 | 2 | 60/F | J | n.r. | ID | n.r. | yes | shock | MH | e-lap | uneventful |
50/F | J | yes | CONG | 12 | no | chronic pain | - | aneurysmectomy | uneventful | ||||
Stanley [4] | 1970 | 45 | 3 | 71/M | J | - | - | ||||||
68/M | I | yes | ATS | n.r. | no | asymptomatic | - | - | - | ||||
74/M | I | aneurysmectomy | uneventful | ||||||||||
Tessier [36] | 2002 | 12 | 5 | 69/F | J | n.r. | n.r. | 30 | yes | acute pain | no | ligation | uneventful |
48/F | J | n.r. | n.r. | 15 | yes | acute pain | no | ligation | uneventful | ||||
79/M | J | n.r. | n.r. | 10 | no | asymptomatic | - | - | - | ||||
56/M | J/1; I/1 | no | PAN | n.r. | yes | acute pain | no | RHC | uneventful | ||||
72/M | I | n.r. | n.r. | n.r. | no | asymptomatic | - | - | - | ||||
Roberts [53] | 2015 | 48 | 3 | n.r. | n.r. | death (MI) | |||||||
26/M | I | n.r. | n.r. | n.r. | no | GI bleeding | - | embolization | uneventful | ||||
n.r. | n.r. | uneventful | |||||||||||
Corey [6] | 2016 | 250 | 3 | n.r./M | yes | ATS | 8 | - | - | ||||
n.r/M | J | no | VASC | 30 | no | asymptomatic | - | aneurysmectomy | uneventful | ||||
n.r./F | n.r. | n.r. | 30 | CE | uneventful | ||||||||
Shimohira [67] | 2021 | 45 | 4 | n.r. | n.r. | yes | SAM | n.r. | yes/2 | n.r. | n.r. | CE | uneventful |
no/2 | asymptomatic | - | - | - | |||||||||
Pitcher [70] | 2022 | 131 | 24 | n.r. | J | n.r. | n.r. | n.r. | n.r. | n.r. | n.r. | n.r. | n.r. |
Author | Year | Age/ Sex | Site/ n | True | Cause | Size (mm) | Clinical Picture | Treatment | Outcome |
---|---|---|---|---|---|---|---|---|---|
Rathmell [13] | 1951 | 29/F | J | yes | CONG | 5 | GI bleeding | e-lap | death |
Horton [14] | 1959 | 31/M | I | no | IE | 50 | acute pain, fever | SBR | uneventful |
Hug [15] | 1961 | 22/F | J | yes | CONG | 5 | GI bleeding, acute pain, hypotension | SBR | uneventful |
Gueco [18] | 1969 | 20/F | J | yes | CONG | 8 | GI bleeding | SBR | uneventful |
Han [19] | 1976 | 50/F | J | no | PAN | n.r. | GI bleeding, acute pain, shock, ME | RHC | death |
Skudder [22] | 1984 | 61/M | J | n.r. | n.r. | 15 | acute pain, shock, ME, HPT | ligation | death |
Wilson [23] | 1984 | 65/M | J | no | IE | 15 | GI bleeding | SBR | uneventful |
Bleichrodt * [24] | 1984 | 16/M | J | no | TR | n.r. | GI bleeding | ligation | uneventful |
Diettrich [25] | 1988 | 28/M | J | yes | CONG | 6 | GI bleeding shock | SBR | uneventful |
Ishii [28] | 1996 | 76/F | J/2 | no | AP | 10 both | shock, HPT | CE | uneventful |
Rokke [30] | 1997 | 73/M | J | no | abscess in PD | 5 | GI bleeding | CE | uneventful |
Weinstock [31] | 1999 | 57/M | J | n.r. | n.r. | 5 | SBO, ME | GJ | uneventful |
Carr [33] | 2001 | n.r. | I | yes | ATS | n.r. | GI bleeding | ligation | n.r. |
Oran [34] | 2001 | 41/F | J | no | GI TB | 5 | GI bleeding | CE | uneventful |
Ueda [35] | 2001 | 74/M | I | no | MPA | n.r. | GI bleeding | CE | death |
Kahn [41] | 2006 | 12/F | J | no | GI TB | n.r. | GI bleeding | CE | uneventful |
Bavunoglu [43] | 2006 | 16/M | J | no | GI TB | n.r. | GI bleeding, acute pain, hypotension | GE | death |
Asano [46] | 2008 | 66/M | J | n.r. | n.r. | 10 | shock, HPT | aneurysmectomy | death |
Garwood [48] | 2009 | 54/F | J | yes | ATS | n.r. | shock, HPT, ME | aneurysmectomy | uneventful |
Yamasaki [49] | 2009 | 51/M | I | no | CSS | n.r. | GI bleeding | SBR | uneventful |
Costa [52] | 2013 | 76/M | J | yes | SAM | 52 | acute pain, hypotension, HPT | aneurysmectomy followed by SBR | uneventful |
Wu [54] | 2015 | 35/M | J | no | BD | 4.8 | acute pain, hypotension, HPT | SBR | uneventful |
Ray [57] | 2015 | 59/F | J | n.r. | n.r. | 23 | acute pain, hypotension, HPT | aneurysmectomy | uneventful |
Arer [58] | 2016 | 68/M | J | no | ACD | n.r. | GI bleeding | CE | uneventful |
Kimura [63] | 2018 | 47/F | I | no | stapler anastomosis | n.r. | acute pain | CE | uneventful |
Murakawa [66] | 2021 | 21/F | J | no | AAV | n.r. | acute pain, GI bleeding | embolization | uneventful |
Author | Year | Age/ Sex | Site | True | Cause | Size (mm) | Clinical Picture | Treatment | Outcome |
---|---|---|---|---|---|---|---|---|---|
Keehan [20] | 1978 | 21/M | J | no | IE | 50 | acute pain | aneurysmectomy | uneventful |
McNamara [21] | 1980 | 72/F | J | yes | ATS | 40 | acute pain, vomiting | aneurysmectomy | uneventful |
Bleichrodt * [24] | 1984 | 16/M | J | no | TR | n.r. | n.r. | ligation | uneventful |
Ku [26] | 1990 | 50/M | J | no | CP | 12 | chronic pain | PE | uneventful |
Lindberg [27] | 1992 | 44/M | J | no | IE | 5 | asymptomatic | - | - |
Kubota [29] | 1997 | 32/M | J | yes | IM | n.r. | asymptomatic | - | - |
Dongola [32] | 2000 | 39/M | J | no | primary APS | n.r. | GI bleeding, acute pain, shock | RPH evacuation | death |
Gabelmann [37] | 2002 | 78/M | J | no | IE | 15 | asymptomatic | CE | uneventful |
Chiu [38] | 2002 | 60/M | I | yes | ATS | 30 | acute pain | aneurysmectomy | uneventful |
Morra [39] | 2002 | 70/F | J | n.r. | n.r. | 50 | acute pain | aneurysmectomy | uneventful |
Lorelli [40] | 2003 | 58/F | J | no | CP | 20 | chronic pain | CE | uneventful |
Shimohira [42] | 2006 | 71/M | J | yes | ATS | 10 | asymptomatic | CE | uneventful |
Sohn [44] | 2007 | 73/F | J | yes | ATS | 45 | asymptomatic | aneurysmectomy+SVIG | uneventful |
Yan [45] | 2007 | 53/M | J | no | bacteriemia after ESWL | 50 | acute pain | SBR | uneventful |
Turkbey [47] | 2008 | 85/M | J | yes | ATS | 5 | GI bleeding | CE | uneventful |
Kurdal [50] | 2010 | 62/F | J | yes | ATS | 45 | acute pain | aneurysmectomy+SVIG | uneventful |
Rossi [51] | 2013 | 76/M | J | yes | ATS | 12 | asymptomatic | PE | uneventful |
Lo [55] | 2015 | 57/M | J | n.r. | n.r. | 9 | asymptomatic | CE | uneventful |
Breguet [56] | 2015 | 34/F | J | no | CP | 17 | chronic pain | CE | uneventful |
Guirgis [59] | 2017 | 86/M | J | yes | ATS | 19 | chronic pain | CE | uneventful |
Kaihara [60] | 2018 | 34/M | J | n.r. | n.r. | 35 | chronic pain | aneurysmectomy+SVIG | uneventful |
Toya [61] | 2018 | 59/M | J | no | heterotopic pancreas | 17 | asymptomatic | aneurysmectomy+SVIG | uneventful |
Minaya-Bravo [62] | 2018 | 49/F | J | yes | CONG | 50 | asymptomatic | aneurysmectomy | uneventful |
Chen [64] | 2021 | 56/F | J | no | AVM | 18 | GI bleeding | SBR | uneventful |
Gogeneata [65] | 2021 | 54/M | J | no | IE | 39 | acute pain, fever | aneurysmectomy | uneventful |
Anwar [68] | 2021 | 43/F | J | no | CP | n.r. | asymptomatic | - | - |
Yadav [69] | 2021 | 55/M | J | no | IgG4-vasculopathy | n.r. | asymptomatic | - | - |
Author | Pt n. | Other VAAs | Site | Other Non VAAs | Site | Rupture/ Site | Treatment/ Site | Outcome |
---|---|---|---|---|---|---|---|---|
Hoehn [17] | 1 | yes | SA | no | - | no | no | uneventful |
2 | no | - | yes | intracranial | no | no | uneventful | |
Stanley [4] | 1 | no | - | yes | AA | no | no | uneventful |
2 | no | - | yes | AA | no | no | uneventful | |
Han [19] | 1 | yes | SA, HA, CA | no | - | yes/ SA, CA | splenectomy, RHC | death |
Ku [26] | 1 | yes | GDA | no | - | no | no | uneventful |
Lindberg [27] | 1 | yes | SMA | no | - | no | no | uneventful |
Kubota [29] | 1 | yes | HA, SA, SMA, CA | yes | CIA | no | no | uneventful |
Dongola [32] | 1 | yes | PDA CA | no | - | yes/PDA | RPH evacuation | death |
Oran [34] | 1 | yes | jejunal vasa recta | no | - | no | no | uneventful |
Tessier [36] | 1 | yes | RA, CTA | yes | thoracic, | no | no | uneventful |
SMA, IMA, CA | intracranial | |||||||
2 | no | - | yes | AA | no | no | uneventful | |
Rossi [51] | 1 | no | - | yes | AA | no | no | uneventful |
Wu [54] | 1 | yes | SMA | no | - | no | no | uneventful |
Anwar [68] | 1 | yes | CTA, PDA, GDA | no | - | no | CE/ PDA, GDA | uneventful |
Yadav [69] | 1 | yes | HA, PDA, CTA | yes | coronary, intercostal | no | no | uneventful |
Rupture Group (n = 33 pt) | No-rupture Group (n = 43 pt) | |
---|---|---|
Mortality, n (%) | 7 (21.2) | 2 (4.6) |
Aneurysm-related mortality | 4 (57.1) | 1 (50) |
Endovascular technical success rate, n (%) | 11 (100) | 12 (92.3) |
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Vincenzi, P.; Gaudenzi, D.; Mulazzani, L.; Rebonato, A.; Patriti, A. Crohn’s Disease and Jejunal Artery Aneurysms: A Report of the First Case and a Review of the Literature. Medicina 2022, 58, 1344. https://doi.org/10.3390/medicina58101344
Vincenzi P, Gaudenzi D, Mulazzani L, Rebonato A, Patriti A. Crohn’s Disease and Jejunal Artery Aneurysms: A Report of the First Case and a Review of the Literature. Medicina. 2022; 58(10):1344. https://doi.org/10.3390/medicina58101344
Chicago/Turabian StyleVincenzi, Paolo, Diletta Gaudenzi, Luca Mulazzani, Alberto Rebonato, and Alberto Patriti. 2022. "Crohn’s Disease and Jejunal Artery Aneurysms: A Report of the First Case and a Review of the Literature" Medicina 58, no. 10: 1344. https://doi.org/10.3390/medicina58101344