Abstract
We report herein the case of a 44-year-old man in whom an asymptomatic dissecting aneurysm was found in the proximal part of the superior mesenteric artery (SMA) during a preoperative evaluation for colon cancer. The patient was managed conservatively with blood pressure control during the perioperative period of the colon resection as the false lumen of the dissecting aneurysm was revealed to be completely occluded by thrombus. The thrombus in the false lumen continued to be absorbed until 1 month after surgery. The patient is currently well 4 years after his operation without any evidence of recurrence of the aneurysm.
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Bauersfeld SR (1947) Dissecting aneurysm of the aorta: a presentation of fifteen cases and a review of the recent literature. Ann Intern Med 26:873–889
Guthrie W, Maclean H (1972) Dissecting aneurysms of arteries other than the aorta. J Pathol 108:219–235
Clark F, Murray SM (1962) Steatorrhoea due to dissecting aneurysm of the superior mesenteric artery. Br Med J 2:965–966
Takehara Y, Takahashi M, Fukaya T, Kaneko M, Koyano K, Sakaguchi S (1988) Computed tomography of isolated dissecting aneurysms of superior mesenteric artery. J Comput Assist Tomogr 12:678–680
Koto K, Suzuki M, Hashimoto H, Tomikawa M, Ueyama T (1989) A case of spontaneous dissection of the superior mesenteric artery (in Japanese with English abstract). Jpn J Cardiovasc Surg 19:25–27
Krupski WC, Effeney DJ, Ehrenfeld WK (1985) Spontaneous dissection of the superior mesenteric artery. J Vasc Surg 2:731–734
Corbeti F, Vigo M, Bulzacchi A, Angelini F, Burigo E, Thiene G (1989) CT diagnosis of spontaneous dissection of the superior mesenteric artery. J Comput Assist Tomogr 13:965–967
Ambo T, Noguchi Y, Iwasaki H, Kondo J, Matsumoto A, Suzuki H, Takamura Y (1994) An isolated dissecting aneurysm of the superior mesenteric artery: Report of a Case. Jpn Surg 24:933–936
Gewertz BL, Stanley JC, Fry WJ (1977) Renal artery dissections. Arch Surg 112:409–414
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Nakamura, K., Nozue, M., Sakakibara, Y. et al. Natural history of a spontaneous dissecting aneurysm of the proximal superior mesenteric artery: Report of a case. Surg Today 27, 272–274 (1997). https://doi.org/10.1007/BF00941661
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DOI: https://doi.org/10.1007/BF00941661