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 journalArticle

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 languageEnglish
Pages (from-to)1619-1624
Number of pages6
JournalJapanese Journal of Gastroenterological Surgery
Volume41
Issue number8
DOIs
Publication statusPublished - 2008 Aug
Externally publishedYes

Keywords

  • Isolated dissection
  • Mesenteric ischemia
  • Superior mesenteric artery

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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