| Autor: |
F Ribeiro T; Serviço de Angiologia e Cirurgia Vascular, Hospital de Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Portugal., Soares Ferreira R; Serviço de Angiologia e Cirurgia Vascular, Hospital de Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Portugal; NOVA Medical School, Universidade NOVA de Lisboa, Portugal. |
| Jazyk: |
angličtina |
| Zdroj: |
Portuguese journal of cardiac thoracic and vascular surgery [Port J Card Thorac Vasc Surg] 2023 Jan 14; Vol. 29 (4), pp. 73. Date of Electronic Publication: 2023 Jan 14. |
| DOI: |
10.48729/pjctvs.297 |
| Abstrakt: |
A 42-year-old previously healthy male presented with 5 days of spontaneous mid-epigastric intense abdominal pain and mild epigastric tenderness on palpation. CT angiography revealed a Sakamoto type 2 isolated superior mesenteric artery dissection (SMA) with a "cul-de-sac" shaped false lumen (B- C: large arrow), side branch perfusion from both lumens, and compression of the true (A-D: small arrow) by the false lumen (A-D: large arrow). Dissection flap presented just distal to an aberrant right hepatic artery arising from the SMA (B.D: star). CT, clinical and analytic findings did not suggest visceral compromise and was successfully treated with bowel rest and anticoagulation. He is now on close clinical and imaging follow-up. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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