Spontaneous Isolated Superior Mesenteric Artery Dissection Requiring Emergent Surgery

A 52-year-old man with a history of hypertension was referred to our hospital due to persistent abdominal pain. Abdominal palpation revealed remarkable rigidity and rebound tenderness all over the abdomen. Enhanced computed tomography demonstrated the superior mesenteric artery (SMA) dissection with...

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Autores principales: Tanaka, Yoshihiro, Tada, Hayato, Takeda, Yoshimichi, Iino, Kenji, Hayashi, Kenshi, Takemura, Hirofumi, Yamagishi, Masakazu, Kawashiri, Masa-aki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191602/
https://www.ncbi.nlm.nih.gov/pubmed/30224605
http://dx.doi.org/10.2169/internalmedicine.0641-17
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author Tanaka, Yoshihiro
Tada, Hayato
Takeda, Yoshimichi
Iino, Kenji
Hayashi, Kenshi
Takemura, Hirofumi
Yamagishi, Masakazu
Kawashiri, Masa-aki
author_facet Tanaka, Yoshihiro
Tada, Hayato
Takeda, Yoshimichi
Iino, Kenji
Hayashi, Kenshi
Takemura, Hirofumi
Yamagishi, Masakazu
Kawashiri, Masa-aki
author_sort Tanaka, Yoshihiro
collection PubMed
description A 52-year-old man with a history of hypertension was referred to our hospital due to persistent abdominal pain. Abdominal palpation revealed remarkable rigidity and rebound tenderness all over the abdomen. Enhanced computed tomography demonstrated the superior mesenteric artery (SMA) dissection with a complete obstruction at the middle part of the SMA. Intraoperative findings showed significant necrosis in the most small intestine and surgical resection was performed. Emergent operation is warranted once abdominal pain becomes uncontrollable or intestinal necrosis is suspected. Physicians should pay careful attention to patients' symptoms and repeatedly perfume physical examinations.
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spelling pubmed-61916022018-10-19 Spontaneous Isolated Superior Mesenteric Artery Dissection Requiring Emergent Surgery Tanaka, Yoshihiro Tada, Hayato Takeda, Yoshimichi Iino, Kenji Hayashi, Kenshi Takemura, Hirofumi Yamagishi, Masakazu Kawashiri, Masa-aki Intern Med Case Report A 52-year-old man with a history of hypertension was referred to our hospital due to persistent abdominal pain. Abdominal palpation revealed remarkable rigidity and rebound tenderness all over the abdomen. Enhanced computed tomography demonstrated the superior mesenteric artery (SMA) dissection with a complete obstruction at the middle part of the SMA. Intraoperative findings showed significant necrosis in the most small intestine and surgical resection was performed. Emergent operation is warranted once abdominal pain becomes uncontrollable or intestinal necrosis is suspected. Physicians should pay careful attention to patients' symptoms and repeatedly perfume physical examinations. The Japanese Society of Internal Medicine 2018-09-15 /pmc/articles/PMC6191602/ /pubmed/30224605 http://dx.doi.org/10.2169/internalmedicine.0641-17 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Tanaka, Yoshihiro
Tada, Hayato
Takeda, Yoshimichi
Iino, Kenji
Hayashi, Kenshi
Takemura, Hirofumi
Yamagishi, Masakazu
Kawashiri, Masa-aki
Spontaneous Isolated Superior Mesenteric Artery Dissection Requiring Emergent Surgery
title Spontaneous Isolated Superior Mesenteric Artery Dissection Requiring Emergent Surgery
title_full Spontaneous Isolated Superior Mesenteric Artery Dissection Requiring Emergent Surgery
title_fullStr Spontaneous Isolated Superior Mesenteric Artery Dissection Requiring Emergent Surgery
title_full_unstemmed Spontaneous Isolated Superior Mesenteric Artery Dissection Requiring Emergent Surgery
title_short Spontaneous Isolated Superior Mesenteric Artery Dissection Requiring Emergent Surgery
title_sort spontaneous isolated superior mesenteric artery dissection requiring emergent surgery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191602/
https://www.ncbi.nlm.nih.gov/pubmed/30224605
http://dx.doi.org/10.2169/internalmedicine.0641-17
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