Isolated Superior Mesenteric Artery Dissection: A Case Report and Literature Review

被引：12

作者：

Daoud, Hussein ^{[1
]}

Abugroun, Ashraf ^{[1
]}

Subahi, Ahmed ^{[2
]}

Khalaf, Habeeb ^{[1
]}

机构：

[1] Advocate Illinois Masonic Med Ctr, Dept Internal Med, 836 W Wellington Ave, Chicago, IL 60657 USA

[2] Wayne State Univ, Sch Med, Dept Internal Med, Detroit Med Ctr, Detroit, MI 48201 USA

来源：

GASTROENTEROLOGY RESEARCH | 2018年 / 11卷 / 05期

关键词：

Superior mesenteric artery dissection; Hypertension;

D O I：

10.14740/gr1056w

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Spontaneous isolated superior mesenteric artery dissection (ISMAD) is an uncommon cause of abdominal pain. Clinical presentation ranges from an asymptomatic incidental finding to acute bowel ischemia or fatal aneurysmal super mesenteric artery (SMA) rupture. We report the case of a 58-year-old male presenting with abdominal pain. Imaging studies revealed an ISMAD without radiological evidence of bowel ischemia. The patient was successfully treated using a conservative approach including bowel rest and anticoagulation. ISMAD incidence is expected to increase with the utilization of advanced imaging modalities. Thus, an ISMAD should be suspected when other common causes of an acute abdomen have been excluded. Given the lack of evidence-based guidelines, management options include conservative treatment and anticoagulation, endovascular stenting, or open surgical repair.

引用

页码：374 / 378

页数：5

共 26 条

[21] Isolated dissection of the superior mesenteric artery: CT findings in six cases [J].