Spontaneous dissection of the superior mesenteric artery.
نویسندگان
چکیده
A patient presented with chronic visceral ischemia caused by spontaneous dissection of the superior mesenteric artery; this was treated successfully by "intimectomy" and patch angioplasty. Operative rather than expectant management is recommended for this rare but surgically accessible lesion.
منابع مشابه
Spontaneous Isolated Celiac and Superior Mesenteric Artery Dissection: Case Report with Literature Review
Spontaneous isolated splanchnic artery dissection is uncommon with superior mesenteric artery (SMA) being the most commonly dissection-affected artery. Spontaneous celiac artery dissection is rare, but underestimation is anticipated due to variable clinical manifestations. Only 11% of celiac artery dissections are associated with SMA dissections. Spontaneous isolated splanchnic artery dissectio...
متن کاملSpontaneous Isolated Celiac Artery and Superior Mesenteric Artery Dissections: A Rare Case
BACKGROUND Arterial dissection is defined as the cleavage of the arterial wall by an intramural hematoma. Reports of dissection of the celiac and/or superior mesenteric artery are rare; as far as we know, only 24 cases of spontaneous isolated celiac trunk dissection, and 71 cases of spontaneous isolated superior mesenteric artery dissection have been reported. CASE REPORT The case presents a ...
متن کاملA rare cause of acute abdomen: spontaneous dissection of the superior mesenteric artery
Spontaneous superior mesenteric artery (SMA) dissection is a rare, but potentially fatal disease. Prompt diagnosis and treatment of SMA dissections result in a lower prevalence of intestinal infarction and mortality. In the current era, imaging techniques can promptly diagnose SMA dissection; however, no definitive guidelines have been established to treat this condition.
متن کاملSpontaneous dissection of the superior mesenteric artery as a rare cause of acute abdomen: report of two cases.
Spontaneous dissection of the superior mesenteric artery (SMA) is a rare condition. Here we report 2 cases of spontaneous SMA dissection causing acute abdomen. Bowel infarction did not occur in either case despite total occlusion or severe stenosis of the SMA;we successfully managed isolated SMA dissection without surgical intervention. Our nonoperative management regimen for spontaneous SMA di...
متن کاملIsolated Dissection of Superior Mesenteric Artery
Isolated dissection of the superior mesenteric artery is a rare occurrence with a hitherto unknown exact etiology. Patients may present with abdominal symptoms or hemodynamic instability.We herein present a case of spontaneous isolated superior mesenteric artery dissection in a 48-year-old man, who was admitted with epigastric pain. Due to an undiagnosed paced rhythm on the electrocardiogram, h...
متن کاملSpontaneous isolated superior mesenteric artery dissection - Report of two cases.
Two cases of isolated superior mesenteric artery dissection diagnosed by contrast enhanced 64 slice CT are reported. In both, the dissection was seen extending along the entire length of the artery with one of them showing partially thrombosed false lumen. One case was associated with dissection of left renal artery with consequent renal infarcts. Although superior mesenteric artery dissection ...
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ورودعنوان ژورنال:
- Cirugia espanola
دوره 96 1 شماره
صفحات -
تاریخ انتشار 1985