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Spontaneous isolated dissection of the superior mesenteric artery: an uncommon cause of acute abdomen. A case report



Spontaneous isolated dissection of the superior mesenteric artery: an uncommon cause of acute abdomen. A case report



La Revue de Medecine Interne 36(2): 131-134



Isolated spontaneous dissection of the superior mesenteric artery is the most common digestive artery dissection. It is a rare cause of acute abdomen. Only a few hundred cases have been reported in the literature. We report a 40-year-old man with a past medical history of high blood pressure who presented abdominal pain that was related to a spontaneous dissection of the superior mesenteric artery. Computed tomography revealed an isolated dissection of superior mesenteric artery. There were no evidence of bowel ischemia. We decided a conservative treatment and the outcome was favorable, without recurrent symptoms or disease progression. Based on this case report, we discuss the etiology of this vascular lesion and the contribution of computed tomography in the diagnosis, the therapeutic strategy and the follow-up of spontaneous dissection of superior mesenteric artery.

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Accession: 055889946

Download citation: RISBibTeXText

PMID: 24630867

DOI: 10.1016/j.revmed.2013.11.015


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