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
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
收藏
页码:56 / 63
页数:8
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