Spontaneous dissection of the superior mesenteric artery in four cases treated with anticoagulation therapy

被引：57

作者：

Nagai, T

Torishima, R

Uchida, A

Nakashima, H

Takahashi, K

Okawara, H

Oga, M

Suzuki, K

Miyamoto, S

Sato, R

Murakami, K

Fujioka, T

机构：

[1] Oita Kouseiren Tsurumi Hosp, Dept Gastroenterol, Beppu, Oita 8748585, Japan

[2] Oita Kouseiren Tsurumi Hosp, Dept Radiol, Beppu, Oita 8748585, Japan

[3] Oita Med Univ, Dept Internal Med 2, Oita, Japan

来源：

INTERNAL MEDICINE | 2004年 / 43卷 / 06期

关键词：

supra mesenteric artery dissection; anticoagulation therapy; conservative therapy; CT diagnosis;

D O I：

10.2169/internalmedicine.43.473

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Reports of spontaneous dissection of the superior mesenteric artery are rare. Diagnosis in the acute stage has been considered difficult, but we encountered four cases from November 1998 to November 2001. All four cases were diagnosed using abdominal CT scanning in the acute stage and could be treated conservatively. All patients were provided anticoagulation therapy upon fasting. The mean period of continuous abdominal pain was 10.2 days, the mean period of fasting was 27.2 days, and the mean number of in-hospital days was 44.5. There is no established opinion on treatment, but conservative treatment is considered possible if there are no symptoms or if it has not been aggravated.

引用

页码：473 / 478

页数：6

共 19 条

[1] DISSECTING ANEURYSM OF THE AORTA - A PRESENTATION OF 15 CASES AND A REVIEW OF THE RECENT LITERATURE [J].