Superior mesenteric artery (SMA) aneurysm is one of the rare visceral aneurysm with different clinical manifestations. There are few reported cases worldwide, each being reported in a specific situation. In this paper, a rare case of disease with fistulization of SMA to jejunum, causing massive GI bleeding is reported. Having DSA studies completed, the patient was operated and SMA was ligated after the midcolic branch. Patient left the hospital with no complications even after 18 months.
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