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Isolated Dissections of Superior Mesenteric and Celiac Arteries Associated With Aortic Ectasia
Arterial dissection is defined as a tear in the inner lining of arteries, leading to the passage of blood between the layers and resulting in a false lumen. Arterial dissection involving the aorta is commonly seen in clinical practice; however, dissections involving the celiac and superior mesenteri...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7366044/ https://www.ncbi.nlm.nih.gov/pubmed/32685322 http://dx.doi.org/10.7759/cureus.8657 |
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author | Latif, Ejaz Fares, Amr Ahmed, Zahoor Musthafa, Shameel Mazhar, Imran |
author_facet | Latif, Ejaz Fares, Amr Ahmed, Zahoor Musthafa, Shameel Mazhar, Imran |
author_sort | Latif, Ejaz |
collection | PubMed |
description | Arterial dissection is defined as a tear in the inner lining of arteries, leading to the passage of blood between the layers and resulting in a false lumen. Arterial dissection involving the aorta is commonly seen in clinical practice; however, dissections involving the celiac and superior mesenteric arteries are quite rare. Even rare are isolated multiple visceral arterial dissections. A 59-year-old male with uncontrolled hypertension presented with epigastric pain. CT angiography revealed isolated dissection of the celiac and superior mesenteric arteries with ascending aortic ectasia, with no features of ischemia or organ dysfunction. He was managed conservatively with analgesics & anticoagulation. Repeat CT angiography after six months of anticoagulation therapy showed no progression of the disease. Isolated multiple visceral arterial dissection is a rare vascular disease that requires a high index of suspicion to diagnose. CT angiography is a useful imaging modality that helps not only in diagnosis but also in choosing a treatment plan. Though treatment options are controversial, conservative treatment with anticoagulation should be considered in uncomplicated cases of visceral arterial dissections. |
format | Online Article Text |
id | pubmed-7366044 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-73660442020-07-17 Isolated Dissections of Superior Mesenteric and Celiac Arteries Associated With Aortic Ectasia Latif, Ejaz Fares, Amr Ahmed, Zahoor Musthafa, Shameel Mazhar, Imran Cureus Emergency Medicine Arterial dissection is defined as a tear in the inner lining of arteries, leading to the passage of blood between the layers and resulting in a false lumen. Arterial dissection involving the aorta is commonly seen in clinical practice; however, dissections involving the celiac and superior mesenteric arteries are quite rare. Even rare are isolated multiple visceral arterial dissections. A 59-year-old male with uncontrolled hypertension presented with epigastric pain. CT angiography revealed isolated dissection of the celiac and superior mesenteric arteries with ascending aortic ectasia, with no features of ischemia or organ dysfunction. He was managed conservatively with analgesics & anticoagulation. Repeat CT angiography after six months of anticoagulation therapy showed no progression of the disease. Isolated multiple visceral arterial dissection is a rare vascular disease that requires a high index of suspicion to diagnose. CT angiography is a useful imaging modality that helps not only in diagnosis but also in choosing a treatment plan. Though treatment options are controversial, conservative treatment with anticoagulation should be considered in uncomplicated cases of visceral arterial dissections. Cureus 2020-06-16 /pmc/articles/PMC7366044/ /pubmed/32685322 http://dx.doi.org/10.7759/cureus.8657 Text en Copyright © 2020, Latif et al. http://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 | Emergency Medicine Latif, Ejaz Fares, Amr Ahmed, Zahoor Musthafa, Shameel Mazhar, Imran Isolated Dissections of Superior Mesenteric and Celiac Arteries Associated With Aortic Ectasia |
title | Isolated Dissections of Superior Mesenteric and Celiac Arteries Associated With Aortic Ectasia |
title_full | Isolated Dissections of Superior Mesenteric and Celiac Arteries Associated With Aortic Ectasia |
title_fullStr | Isolated Dissections of Superior Mesenteric and Celiac Arteries Associated With Aortic Ectasia |
title_full_unstemmed | Isolated Dissections of Superior Mesenteric and Celiac Arteries Associated With Aortic Ectasia |
title_short | Isolated Dissections of Superior Mesenteric and Celiac Arteries Associated With Aortic Ectasia |
title_sort | isolated dissections of superior mesenteric and celiac arteries associated with aortic ectasia |
topic | Emergency Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7366044/ https://www.ncbi.nlm.nih.gov/pubmed/32685322 http://dx.doi.org/10.7759/cureus.8657 |
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