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Worsening Isolated Superior Mesenteric Artery Dissection on the Day After Discharge
A 59-year-old male was transported to the emergency department by ambulance with complaints of left-sided abdominal pain. Blood gas analysis revealed elevated lactate, and plain computed tomography revealed no bowel ischemic change. Contrast-enhanced computed tomography revealed isolated superior me...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10210523/ https://www.ncbi.nlm.nih.gov/pubmed/37252581 http://dx.doi.org/10.7759/cureus.38100 |
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author | Sasaki, Hideki Sone, Yoshiaki Numata, Yukihide Kamiya, Shinji Asano, Miki |
author_facet | Sasaki, Hideki Sone, Yoshiaki Numata, Yukihide Kamiya, Shinji Asano, Miki |
author_sort | Sasaki, Hideki |
collection | PubMed |
description | A 59-year-old male was transported to the emergency department by ambulance with complaints of left-sided abdominal pain. Blood gas analysis revealed elevated lactate, and plain computed tomography revealed no bowel ischemic change. Contrast-enhanced computed tomography revealed isolated superior mesenteric artery dissection with mildly stenosed true lumen. The patient was treated with conservative management on admission. Staged fluid intake, oral prescriptions, and diet were commenced with attention to the symptoms. After four days of hospitalization, the patient was discharged with a stable condition. However, the patient returned to our hospital complaining of left lower back pain three hours after discharge. Contrast-enhanced computed tomography revealed an enlarged false lumen with a moderately stenosed true lumen. After a thorough discussion between vascular surgeons and interventional radiologists, conservative management was commenced on the second admission. The clinical course was uneventful, with proof of improved imaging findings. |
format | Online Article Text |
id | pubmed-10210523 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-102105232023-05-26 Worsening Isolated Superior Mesenteric Artery Dissection on the Day After Discharge Sasaki, Hideki Sone, Yoshiaki Numata, Yukihide Kamiya, Shinji Asano, Miki Cureus Cardiac/Thoracic/Vascular Surgery A 59-year-old male was transported to the emergency department by ambulance with complaints of left-sided abdominal pain. Blood gas analysis revealed elevated lactate, and plain computed tomography revealed no bowel ischemic change. Contrast-enhanced computed tomography revealed isolated superior mesenteric artery dissection with mildly stenosed true lumen. The patient was treated with conservative management on admission. Staged fluid intake, oral prescriptions, and diet were commenced with attention to the symptoms. After four days of hospitalization, the patient was discharged with a stable condition. However, the patient returned to our hospital complaining of left lower back pain three hours after discharge. Contrast-enhanced computed tomography revealed an enlarged false lumen with a moderately stenosed true lumen. After a thorough discussion between vascular surgeons and interventional radiologists, conservative management was commenced on the second admission. The clinical course was uneventful, with proof of improved imaging findings. Cureus 2023-04-25 /pmc/articles/PMC10210523/ /pubmed/37252581 http://dx.doi.org/10.7759/cureus.38100 Text en Copyright © 2023, Sasaki et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiac/Thoracic/Vascular Surgery Sasaki, Hideki Sone, Yoshiaki Numata, Yukihide Kamiya, Shinji Asano, Miki Worsening Isolated Superior Mesenteric Artery Dissection on the Day After Discharge |
title | Worsening Isolated Superior Mesenteric Artery Dissection on the Day After Discharge |
title_full | Worsening Isolated Superior Mesenteric Artery Dissection on the Day After Discharge |
title_fullStr | Worsening Isolated Superior Mesenteric Artery Dissection on the Day After Discharge |
title_full_unstemmed | Worsening Isolated Superior Mesenteric Artery Dissection on the Day After Discharge |
title_short | Worsening Isolated Superior Mesenteric Artery Dissection on the Day After Discharge |
title_sort | worsening isolated superior mesenteric artery dissection on the day after discharge |
topic | Cardiac/Thoracic/Vascular Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10210523/ https://www.ncbi.nlm.nih.gov/pubmed/37252581 http://dx.doi.org/10.7759/cureus.38100 |
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