Superior mesenteric artery dissection.
نویسندگان
چکیده
DESCRIPTION A 61-year-old man presented with a 2-day history of epigastralgia and back pain without nausea, vomiting, haematemesis or melena. He reported that he had untreated hypertension. On examination, his upper extremity blood pressures were 180/100 (right arm) and 177/98 mm Hg (left arm). His abdomen was soft and flat, but showed epigastric tenderness without rebound tenderness or muscle rigidity with normal bowel sound. Abdominal ultrasonography revealed decreased blood flow at the proximal portion of superior mesenteric artery (SMA). Abdominal CTwith contrast enhancement revealed dissection of SMA from the proximal portion to the ileal artery bifurcation (figures 1 and 2). There was no intestinal wall thickening or gastric intramural emphysema. His pain resolved with
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ورودعنوان ژورنال:
- BMJ case reports
دوره 2012 شماره
صفحات -
تاریخ انتشار 2012