Aneurysm caused by intimomedial mucoid degeneration: A case report

Authors

  • R Ntshuti Department of General Surgery, Limpopo Academic Complex and School of Medicine, University of Limpopo, Polokwane, South Africa
  • NS Sithole Department of General Surgery, Limpopo Academic Complex and School of Medicine, University of Limpopo, Polokwane, South Africa

DOI:

https://doi.org/10.7196/SAMJ.2022.v112i11b.16825

Keywords:

Aneurysm

Abstract

Intimomedial mucoid degeneration (IMMD) is characterised by aneurysm formation following mucin deposition in the intima and media, with elastic tissue degeneration of the arterial wall. IMMD aneurysms have been sporadically reported, with a series of 22 cases by Abdool-Carrim et al. emanating from the University of Natal, Durban, South Africa. We report on a patient who presented with a ruptured abdominal aortic aneurysm. IMMD was confirmed on histological examination of a biopsy specimen taken during open repair of the aneurysm.

References

Decker GAG, Samson ID, Schmaman A. Abdominal aneurysm in South African Negroes due to intimomedial mucoid degeneration: A clinicopathological study. Br J Surg 1977;64(7):513-516. https:// doi.org/10.1002/bjs.1800640718

Abdool-Carrim ATO, Robbs JV, Kagwa AM, Kenoyer G, Cooper K. Aneurysms due to intimomedial mucoid degeneration. Eur J Vasc Endovasc Surg 1996;11(3):324-329. https://doi.org/10.1016/s1078- 5884(96)80079-7

Katz JR, West DL, Bui JT, et al. Endovascular treatment of intimomedial mucoid degeneration. J Vasc Interv Radiol 2008;19(12):1765-1768. https://doi.org/10.1016/j.jvir.2008.08.019

Georgios T, Skripochnik E, Landau D, Wain RA, Tassiopoulos AK. Intimomedial mucoid degeneration of the peripheral arteries. J Vasc Surg Cases Innov Tech 2019;5(4):452-455. https://doi.org/10.1016/j. jvscit.2019.04.005

Wiskott K, Genet P, Lobrinus JA, Fracasso T, Lardi C. Intimomedial mucoid arterial degeneration, a rare arterial disorder of forensic significance. Forensic Sci Med Pathol 2019;15(4):591-594. https://doi. org/10.1007/s12024-019-00154-x

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Published

2022-11-17

How to Cite

1.
Ntshuti R, Sithole N. Aneurysm caused by intimomedial mucoid degeneration: A case report. S Afr Med J [Internet]. 2022 Nov. 17 [cited 2026 Apr. 18];112(11b):929-30. Available from: https://samajournals.co.za/index.php/samj/article/view/477