Isolated dissection of the superior mesenteric artery: a case report and literature review

被引：3

作者：

Seidita, Aurelio ^{[1
]}

Barbiera, Filippo ^{[2
]}

Murmura, Elena ^{[2
]}

Accardi, Maria ^{[3
]}

D'Alcamo, Alberto ^{[1
]}

Randazzo, Giusi ^{[1
]}

Mansueto, Pasquale ^{[1
]}

Carroccio, Antonio ^{[3
]}

Sprini, Delia ^{[1
]}

机构：

[1] Univ Hosp Palermo, Dept Internal & Specialist Med, Internal Med, Palermo, Italy

[2] Hosp Sciacca, ASP Agrigento, Radiol, Sciacca, Italy

[3] Hosp Sciacca, ASP Agrigento, Internal Med, Sciacca, Italy

来源：

ITALIAN JOURNAL OF MEDICINE | 2014年 / 8卷 / 01期

关键词：

superior mesenteric artery dissection; acute abdomen; mesenteric ischemia;

D O I：

10.4081/itjm.2013.168

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Isolated dissection of the superior mesenteric artery is rare; it is predominantly observed in men with the highest incidence in those over 40 years old. Contrast-enhanced multi-detector computed tomography is considered essential for the diagnosis, therapeutic management and follow-up. The therapeutic approach ranges from conservative medical treatment to surgery or endovascular stent placement, but there are, to date, no approved guidelines. We report the case of a 68-year old man who entered our Emergency Department just for mild abdominal pain, which later proved to be due to acute dissection of the superior mesenteric artery.

引用

页码：56 / 63

页数：8

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