Spontaneous Isolated Dissection of the Superior Mesenteric Artery

Hideo TAKAYAMA; Shinhiro TAKEDA; Sabine Kyoko SAITOH; Hiromitsu HAYASHI; Teruo TAKANO; Keiji TANAKA

doi:10.2169/internalmedicine.41.713

Hideo TAKAYAMA, Shinhiro TAKEDA, Sabine Kyoko SAITOH, Hiromitsu HAYASHI, Teruo TAKANO, Keiji TANAKA

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Keywords: acute abdomen, abdominal angiography, enhanced computed tomography, anticoagulation therapy

JOURNAL FREE ACCESS

2002 Volume 41 Issue 9 Pages 713-716

DOI https://doi.org/10.2169/internalmedicine.41.713

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Abstract

A case of a 63-year-old man with isolated dissection of the superior mesenteric artery (SMA), demonstrated by enhanced computed tomography (CT) and abdominal angiography, was admitted to our hospital. The severity of this disease varies from mild to severe; the severe cases require surgery. But the mild cases, like the one presented here, only need conservative therapy. This case demonstrated the usefulness of anticoagulation therapy and the indications for surgical and radiological intervention.
(Intrenal Medicine 41: 713-716, 2002)

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