Int J Angiol 2013; 22(04): 245-250
DOI: 10.1055/s-0033-1348879
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Rare Case of “Wandering Artery of Drummond” As a Result of Chronic Triple Mesenteric Vessel Occlusion Treated by Isolated Angioplasty and Stenting of the Inferior Mesenteric Artery

Tejaskumar Shah
1   Department of Medicine, Chicago Medical School, Rosalind Franklin University of Medicine and Science, Chicago, Illinois
,
Mukesh Singh
1   Department of Medicine, Chicago Medical School, Rosalind Franklin University of Medicine and Science, Chicago, Illinois
,
Rohit Bhuriya
1   Department of Medicine, Chicago Medical School, Rosalind Franklin University of Medicine and Science, Chicago, Illinois
,
Daniela Kovacs
1   Department of Medicine, Chicago Medical School, Rosalind Franklin University of Medicine and Science, Chicago, Illinois
,
Sandeep Khosla
1   Department of Medicine, Chicago Medical School, Rosalind Franklin University of Medicine and Science, Chicago, Illinois
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Publikationsdatum:
09. Juli 2013 (online)

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Abstract

We report a rare clinical scenario of chronic mesenteric ischemia (CMI) patient with obstruction of all the three major gut vessels including celiac, superior mesenteric artery (SMA), and inferior mesenteric artery (IMA) with a sole artery supplying the collaterals through marginal artery of left colon (the “wandering artery of Drummond”). A 70-year-old man was presented to hospital with acute onset of dyspnea, diaphoresis, severe epigastric pain, nausea, and vomiting that started after lunch. Initially, patient was diagnosed and treated for non-ST elevation myocardial infarction (NSTEMI). Furthermore, work-up, including computed tomographic scan of abdomen followed by angiogram, revealed 100% obstruction of celiac and SMA, whereas inferior IMA had 90% ostial lesion with poststenotic dilatation and collaterals supplying to entire colon. Subsequently, IMA ostial lesion was stented through percutaneous intervention and patient noted significantly improved symptoms and quality of life. To conclude, percutaneous endovascular treatments confer favorable strategy for CMI, and it may either be curative or allow nutritional optimization before definitive surgery.