Spontaneous isolated superior mesenteric artery dissection: an investigative case report.

Autor:	Vuong NM; Department of Adult Cardiac Surgery, University Medical Center Ho Chi Minh City, Ho Chi Minh City, Vietnam., Bui VDA; Department of Thoracic and Cardiovascular Surgery, Hue Central Hospital, Hue City, Vietnam., Nguyen DT; Department of Radiology, University Medical Center Ho Chi Minh City, Ho Chi Minh City, Vietnam., Nguyen D; Massachusetts General Hospital, Corrigan Minehan Heart Center, Harvard Medical School, Boston, MA, USA., Jain N; Riga Stradinš University, Riga, Latvia., Vervoort D; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada., Nguyen TH; Department of Adult Cardiac Surgery, University Medical Center Ho Chi Minh City, Ho Chi Minh City, Vietnam.; Thoracic and Cardiovascular Surgery Department, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh city, Vietnam., Tran LMB; Thoracic and Cardiovascular Surgery Department, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh city, Vietnam.; Department of Thoracic and Vascular Surgery, University Medical Center Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Jazyk:	angličtina
Zdroj:	Radiology case reports [Radiol Case Rep] 2024 Jul 16; Vol. 19 (10), pp. 4117-4121. Date of Electronic Publication: 2024 Jul 16 (Print Publication: 2024).
DOI:	10.1016/j.radcr.2024.06.054
Abstrakt:	Spontaneous isolated superior mesenteric artery dissection (SISMAD) is a rare cause of acute abdominal pain, but could potentially be fatal to patients, and should be recognized soon in the emergency department after excluding other common causes. Computed tomography (CT) is the modality of choice for initial diagnosis and follow-up. Currently there is no evidence-based guidelines for managing SISMAD. A 58-year-old man being suspected of a mesenteric artery dissection was referred to our emergergy department. The patient was monitored, treated conservatively with anticoagulant and discharged after 3 days. Follow-up CT scans at 6 month, 1 year and 1 year and a half post discharge showed a partially occluded false lumen, the diameter of true lumen had increased in size and no signs of bowel ischemia. SISMAD should be considered as part of differential diagnoses when patients in their fifth to seventh decades of life present with acute abdominal pain. Treatment includes conservative management, percutaneous endovascular interventions, or surgery, but most patients can be managed conservatively. (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu