Conservative management of isolated dissection of the superior mesenteric artery

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Conservative management of isolated dissection of the superior mesenteric artery.

A 46-year-old man with a previous history of smoking (20 cig./day) was referred because of recurrent episodes of sudden high periumbilical abdominal pain. Upon examination, pain in the periumbilical region was found without peritoneal irritation sings. Blood pressure raised to 180/71 mm Hg. Hemogram, biochemistry, and venous blood gas analysis were strictly normal. On abdominal angio-TC (Fig. 1...

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isolated 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. w e 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,...

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Conservative Management of Spontaneous Isolated Dissection of the Superior Mesenteric Artery

PURPOSE We report the clinical outcomes of patients with spontaneous isolated dissection of the superior mesenteric artery (SIDSMA) who were treated conservatively. MATERIALS AND METHODS A retrospective review was performed in 14 patients from 2006 to 2016 with SIDSMA. Their clinical features and computed tomographic angiography (CTA) characteristics, treatment methods, and clinical outcomes ...

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Isolated 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...

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Spontaneous Isolated Superior Mesenteric Artery Dissection

A true isolated superior mesenteric artery (SMA) dissection is a rare occurrence. The increasing use of diagnostic imaging studies has resulted in this rare disease being more recognized. A 68-year-old Caucasian female presented with sharp upper abdominal pain. Computed tomography (CT) of the abdomen showed dissection with thrombosis in the proximal SMA. Conservative management with bowel rest,...

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ژورنال

عنوان ژورنال: Revista Española de Enfermedades Digestivas

سال: 2014

ISSN: 1130-0108

DOI: 10.4321/s1130-01082014000200017