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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...

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Autores principales: Sasaki, Hideki, Sone, Yoshiaki, Numata, Yukihide, Kamiya, Shinji, Asano, Miki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
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.
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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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