Isolated dissection of the superior mesenteric artery: a case report and literature review | Zendy

Aurelio Seidita | Zendy; Filippo Barbiera | Zendy; Elena Murmura | Zendy; M. Accardi | Zendy; Alberto D’Alcamo | Zendy; G Randazzo | Zendy; Pasquale Mansueto | Zendy; Antonio Carroccio | Zendy; Delia Sprini | Zendy

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Isolated dissection of the superior mesenteric artery: a case report and literature review

Author(s) -

Aurelio Seidita,

Filippo Barbiera,

Elena Murmura,

M. Accardi,

Alberto D’Alcamo,

G Randazzo,

Pasquale Mansueto,

Antonio Carroccio,

Delia Sprini

Publication year - 2013

Publication title -

italian journal of medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.134

H-Index - 10

eISSN - 1877-9352

pISSN - 1877-9344

DOI - 10.4081/itjm.2013.168

Subject(s) - medicine , superior mesenteric artery , abdominal pain , dissection (medical) , radiology , stent , emergency department , artery dissection , surgery , acute abdominal pain , artery , incidence (geometry) , endovascular treatment , aneurysm , cardiology , coronary angiography , psychiatry , myocardial infarction , optics , physics

Isolated dissection of the superior mesenteric artery is rare; it is predominantly observed in men with the highest incidence in those over 40 years old. Contrast-enhanced multi-detector computed tomography is considered essential for the diagnosis, therapeutic management and follow-up. The therapeutic approach ranges from conservative medical treatment to surgery or endovascular stent placement, but there are, to date, no approved guidelines. We report the case of a 68-year old man who entered our Emergency Department just for mild abdominal pain, which later proved to be due to acute dissection of the superior mesenteric artery

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