JaLCDOI 10.18926/AMO/31846
FullText URL fulltext.pdf
Author Totsugawa, Toshinori| Kuinose, Masahiko| Ishida, Atsuhisa| Tamaki, Takahiko| Yoshitaka, Hidenori| Tsushima, Yoshimasa|
Abstract <p>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.</p>
Keywords acute abdomen spontaneous dissection superior mesenteric artery nonoperative management
Amo Type Case Report
Published Date 2009-06
Publication Title Acta Medica Okayama
Volume volume63
Issue issue3
Publisher Okayama University Medical School
Start Page 157
End Page 160
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language 英語
File Version publisher
Refereed True
PubMed ID 19571903
Web of Science KeyUT 000267388200006