A case report of neurofibromatosis type 1 patient ruptured superior rectal artery one year after internal iliac artery rupture

DOI
  • Tsuji Mizuho
    Department of Trauma and Critical Care Medicine, Sakai City Medical Center
  • Amano Koji
    Department of Trauma and Critical Care Medicine, Sakai City Medical Center
  • Yasuhara Yumiko
    Department of Pathology, Sakai City Medical Center
  • Hashimoto Yu
    Department of Trauma and Critical Care Medicine, Sakai City Medical Center
  • Kayata Hiroyuki
    Department of Trauma and Critical Care Medicine, Sakai City Medical Center
  • Kato Fumitaka
    Department of Trauma and Critical Care Medicine, Sakai City Medical Center
  • Mukai Nobutaka
    Department of Trauma and Critical Care Medicine, Sakai City Medical Center
  • Yakushiji Hideaki
    Department of Trauma and Critical Care Medicine, Sakai City Medical Center
  • Nakamura Masahisa
    Department of Diagnostic Radiology, Sakai City Medical Center
  • Shinyama Naoki
    Department of Trauma and Critical Care Medicine, Sakai City Medical Center
  • Usui Akihiro
    Department of Trauma and Critical Care Medicine, Sakai City Medical Center
  • Morita Masanori
    Department of Trauma and Critical Care Medicine, Sakai City Medical Center
  • Nakata Yasuki
    Department of Trauma and Critical Care Medicine, Sakai City Medical Center

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Other Title
  • 内腸骨動脈破綻の1年後，上直腸動脈破綻をきたしたNF1患者の1例

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Abstract

A 38-year-old female was brought to our emergency department with sudden pain in the left lower-quadrant. Abdominal contrast-enhanced Computed Tomography showed an extravasation from the internal iliac artery （IIA）. The patient was successfully treated with selective coil embolization of the IIA. After discharge, the patient was diagnosed with NF-1. One year after, the patient was brought to our emergency department again with a 3-day history of severe lower abdominal pain. The patient suddenly deteriorated with severe hypotension during a medical examination. An emergency laparotomy was performed and the superior rectal artery （SRA） rupture was revealed. The surgical resection and ligation of the SRA were performed. The patient was recovered without complications and was discharged eleven days later. Patients with NF1 are at increased risk of a variety of vascular abnormalities, which might result in life-threatening artery hemorrhage.

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