PMID- 31198809
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200929
IS  - 2322-2522 (Print)
IS  - 2322-3960 (Electronic)
IS  - 2322-2522 (Linking)
VI  - 7
IP  - 2
DP  - 2019 Apr
TI  - Arc of Buhler Pseudoaneurysm Causing Fatal Retroperitoneal Hemorrhage; A Rare 
      Case Report and Discussion of Relevant Literature.
PG  - 183-186
LID - 10.29252/beat-070215 [doi]
AB  - Identification of any variant anatomy prior to surgery is as essential as having 
      knowledge of normal anatomy. These surprises bring on many challenges along with 
      as they can be fatal. We encountered a case of patient who succumbed down to an 
      unrecognized rare mesenteric vasculature variant known as "Arc of Buhler" (AOB) 
      which is a persistent embryonic ventral anastomosis between the Celiac trunk and 
      the Superior mesenteric artery. It is usually asymptomatic and found incidentally 
      after evaluation for other pathologies. We herein report a pseudoaneurysm of Arc 
      of Buhler being surgically managed after massive retroperitoneal hemorrhage. 
      Unfortunately, the patient did not survive the procedure and passed away. AOB 
      aneurysms present formidable risks to patients and diagnostic and therapeutic 
      challenges to physicians. They are rare and require high index of suspicion on 
      radiographic imaging. Present case reports underscore the importance of 
      identifying it and treating it regardless of the size.
FAU - Biswas, Saptarshi
AU  - Biswas S
AD  - Department of Trauma and Acute Care Surgery, Forbes Hospital, Allegheny Health 
      Network, Pennsylvania. USA.
FAU - Gogna, Shekhar
AU  - Gogna S
AD  - Department of General Surgery, Westchester University Medical Center, Valhalla, 
      New York, USA.
LA  - eng
PT  - Case Reports
PL  - Iran
TA  - Bull Emerg Trauma
JT  - Bulletin of emergency and trauma
JID - 101614018
PMC - PMC6555205
OTO - NOTNLM
OT  - Arc of Buhler (AOB)
OT  - Fatal hemorrhage
OT  - Pseudoaneurysm
OT  - Retroperitoneum
COIS- None declared.
EDAT- 2019/06/15 06:00
MHDA- 2019/06/15 06:01
PMCR- 2019/04/01
CRDT- 2019/06/15 06:00
PHST- 2019/06/15 06:00 [entrez]
PHST- 2019/06/15 06:00 [pubmed]
PHST- 2019/06/15 06:01 [medline]
PHST- 2019/04/01 00:00 [pmc-release]
AID - 10.29252/beat-070215 [doi]
PST - ppublish
SO  - Bull Emerg Trauma. 2019 Apr;7(2):183-186. doi: 10.29252/beat-070215.