Spontaneous dissection of the superior mesenteric artery as a rare cause of acute abdomen:report of two cases

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