colic artery

The indication for urgent laparotomy was based on the following findings: 1) obvious bleeding that drained percutaneously via the abdominal drainage or nasogastric tube that was considered inaccessible to endovascular treatment; 2) serious ischemic complications caused by the TAE procedure, including ischemia of the intestinal artery and distal colic artery; and (3) failure of the TAE or repeat TAE procedures.

The left ureter descends on the lateral part of the abdominal aorta over the psoas muscle fascia and crossed anteriorly by the left colic artery and ovarian vessels.

Inferior mesenteric vein with the ascending branch of the left colic artery was close to the mouth of the sac.

Laparoscopic right hemicolectomy was performed following strictly oncologic principles with ileocolic, right colic, and right branch of middle colic artery ligation.

Embolisms tend to lodge just beyond the origin of the middle colic artery, where the calibre of the SMA narrows rapidly and ischaemia therefore spares the upper jejunum and transverse colon [5].

On angiography, there was active extravasation in the territory of the right colic artery, which was successfully embolized by placing multiple microcoils (size: 0.015"; Balt, Extrusion, France).

One patient with middle colic artery pseudoaneurysm had history of grade IV pancreatic transaction due to abdominal trauma during a road traffic accident.

Superior mesenteric artery angiogram showed abnormal serpiginous vessels in relation to the right colic artery. He was further investigated with capsule enteroscopy and contrast CT abdomen, but showed normal findings.