A case of spontaneous isolated dissection of the superior mesenteric artey

Yoshinobu Akiyama; Kenji Omagari; Kentaro Matsubara; Minoru Kitagou; Hiroaki Hattori; Fumio Suzuki; Hitoshi Otaka

doi:10.5833/jjgs.41.1619

A case of spontaneous isolated dissection of the superior mesenteric artey

Yoshinobu Akiyama, Kenji Omagari, Kentaro Matsubara, Minoru Kitagou, Hiroaki Hattori, Fumio Suzuki, Hitoshi Otaka

Research output: Contribution to journal › Article

Abstract

We report the case of a 54-year-old man with asymptomatic isolated dissection of the superior mesenteric artery (SMA) found in CT. Three-dimensional reconstructed CT showed that the true lumen was not compressed by the false lumen but no aneurysm had formed. Conservative therapy with an anti platelet agent was chosen, because the patient was asymptomatic for intestinal ischemia. CT 1 year later showed a regressed, completely thrombosed false lumen and a normally dilated true lumen at the origin of the SMA. Solitary SMA dissection is rare. In some cases massive small intestine resection is required, but some cases reported well to anti platelet or anti coagulant therapy, as in our case.

Original language	English
Pages (from-to)	1619-1624
Number of pages	6
Journal	Japanese Journal of Gastroenterological Surgery
Volume	41
Issue number	8
DOIs	https://doi.org/10.5833/jjgs.41.1619
Publication status	Published - 2008 Aug
Externally published	Yes

Keywords

Isolated dissection
Mesenteric ischemia
Superior mesenteric artery

ASJC Scopus subject areas

Surgery
Gastroenterology

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Akiyama, Y., Omagari, K., Matsubara, K., Kitagou, M., Hattori, H., Suzuki, F., & Otaka, H. (2008). A case of spontaneous isolated dissection of the superior mesenteric artey. Japanese Journal of Gastroenterological Surgery, 41(8), 1619-1624. https://doi.org/10.5833/jjgs.41.1619

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abstract = "We report the case of a 54-year-old man with asymptomatic isolated dissection of the superior mesenteric artery (SMA) found in CT. Three-dimensional reconstructed CT showed that the true lumen was not compressed by the false lumen but no aneurysm had formed. Conservative therapy with an anti platelet agent was chosen, because the patient was asymptomatic for intestinal ischemia. CT 1 year later showed a regressed, completely thrombosed false lumen and a normally dilated true lumen at the origin of the SMA. Solitary SMA dissection is rare. In some cases massive small intestine resection is required, but some cases reported well to anti platelet or anti coagulant therapy, as in our case.",

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AU - Akiyama, Yoshinobu

AU - Omagari, Kenji

AU - Matsubara, Kentaro

AU - Kitagou, Minoru

AU - Hattori, Hiroaki

AU - Suzuki, Fumio

AU - Otaka, Hitoshi

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AB - We report the case of a 54-year-old man with asymptomatic isolated dissection of the superior mesenteric artery (SMA) found in CT. Three-dimensional reconstructed CT showed that the true lumen was not compressed by the false lumen but no aneurysm had formed. Conservative therapy with an anti platelet agent was chosen, because the patient was asymptomatic for intestinal ischemia. CT 1 year later showed a regressed, completely thrombosed false lumen and a normally dilated true lumen at the origin of the SMA. Solitary SMA dissection is rare. In some cases massive small intestine resection is required, but some cases reported well to anti platelet or anti coagulant therapy, as in our case.

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KW - Mesenteric ischemia

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