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Radiology
Tuberculous aortitis with jejunal artery mycotic pseudoaneurysm managed by endovascular coil embolisation
  1. Taraprasad Tripathy1,
  2. Ranjan Kumar Patel1,
  3. Kaneez Fatima1 and
  4. Tanmay Dutta2
  1. 1Radiodiagnosis, All India Institute of Medical Sciences - Bhubaneswar, Bhubaneswar, Odisha, India
  2. 2Surgical Gastroenterology, All India Institute of Medical Sciences - Bhubaneswar, Bhubaneswar, India
  1. Correspondence to Dr Taraprasad Tripathy; taraprasad.mkcg{at}gmail.com

Abstract

Mycotic aneurysm in a visceral artery due to tuberculosis (TB) is a rare occurrence. Imaging plays a critical role in its diagnosis. Over the last few years, minimally invasive interventional radiological treatment has replaced more invasive surgical procedures. Here, we report a case presenting with abdominal pain, diagnosed with jejunal artery mycotic pseudoaneurysm (PSA) secondary to TB, managed by endovascular coiling. Coil embolisation of the superior mesenteric artery branch was done using three coils, closing both the front door, back door and sac of the mycotic aneurysm. Visceral PSA following TB infection is rare and can be fatal if left untreated. Coil embolisation is a minimally invasive procedure with a high success rate and comparatively fewer complications.

  • Tuberculosis
  • Interventional radiology
  • Vasculitis

https://doi.org/10.1136/bcr-2024-260463

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    Footnotes

    • X @taraprasad_IR, @Ranjan Patel

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms and critical revision for important intellectual content: TT, RKP, KF, TD. The following authors gave final approval of the manuscript: TT, RKP, KF, TD.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.