Autor: |
Toshinori, Totsugawa, Masahiko, Kuinose, Atsuhisa, Ishida, Takahiko, Tamaki, Hidenori, Yoshitaka, Yoshimasa, Tsushima |
Jazyk: |
angličtina |
Rok vydání: |
2009 |
Předmět: |
|
Zdroj: |
Acta Medica Okayama. 63(3):157-160 |
ISSN: |
0386-300X |
Popis: |
Spontaneous dissection of the superior mesenteric artery (SMA) is a rare condition. Here we report 2 cases of spontaneous SMA dissection causing acute abdomen. Bowel infarction did not occur in either case despite total occlusion or severe stenosis of the SMA;we successfully managed isolated SMA dissection without surgical intervention. Our nonoperative management regimen for spontaneous SMA dissection consisted of intestinal rest with fasting, administration of a vasodilator, and blood pressure control. Surgical intervention should be unnecessary unless complications, such as intestinal infarction and abdominal angina, occur. |
Databáze: |
OpenAIRE |
Externí odkaz: |
|