Isolated Superior Mesenteric Artery Dissection, A Rare Cause Of Abdominal Pain
Autor(a) principal: | |
---|---|
Data de Publicação: | 2023 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10362/150344 |
Resumo: | A 42-year-old previously healthy male presented with 5 days of spontaneous mid-epigastric intense abdominal pain and mild epigastric tenderness on palpation. CT angiography revealed a Sakamoto type 2 isolated superior mesenteric artery dissection (SMA) with a "cul-de-sac" shaped false lumen (B- C: large arrow), side branch perfusion from both lumens, and compression of the true (A-D: small arrow) by the false lumen (A-D: large arrow). Dissection flap presented just distal to an aberrant right hepatic artery arising from the SMA (B.D: star). CT, clinical and analytic findings did not suggest visceral compromise and was successfully treated with bowel rest and anticoagulation. He is now on close clinical and imaging follow-up. |
id |
RCAP_9cacee0d044eae431c0e30295e621b38 |
---|---|
oai_identifier_str |
oai:run.unl.pt:10362/150344 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Isolated Superior Mesenteric Artery Dissection, A Rare Cause Of Abdominal PainMaleHumansAdultMesenteric Artery, Superior/diagnostic imagingAortic Dissection/complicationsComputed Tomography Angiography/adverse effectsAbdominal Pain/etiologyTreatment OutcomeA 42-year-old previously healthy male presented with 5 days of spontaneous mid-epigastric intense abdominal pain and mild epigastric tenderness on palpation. CT angiography revealed a Sakamoto type 2 isolated superior mesenteric artery dissection (SMA) with a "cul-de-sac" shaped false lumen (B- C: large arrow), side branch perfusion from both lumens, and compression of the true (A-D: small arrow) by the false lumen (A-D: large arrow). Dissection flap presented just distal to an aberrant right hepatic artery arising from the SMA (B.D: star). CT, clinical and analytic findings did not suggest visceral compromise and was successfully treated with bowel rest and anticoagulation. He is now on close clinical and imaging follow-up.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNF Ribeiro, TiagoSoares Ferreira, Rita2023-03-10T22:52:31Z2023-01-142023-01-14T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1application/pdfhttp://hdl.handle.net/10362/150344eng2184-9927PURE: 54549906https://doi.org/10.48729/pjctvs.297info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:32:17Zoai:run.unl.pt:10362/150344Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:54:03.602901Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Isolated Superior Mesenteric Artery Dissection, A Rare Cause Of Abdominal Pain |
title |
Isolated Superior Mesenteric Artery Dissection, A Rare Cause Of Abdominal Pain |
spellingShingle |
Isolated Superior Mesenteric Artery Dissection, A Rare Cause Of Abdominal Pain F Ribeiro, Tiago Male Humans Adult Mesenteric Artery, Superior/diagnostic imaging Aortic Dissection/complications Computed Tomography Angiography/adverse effects Abdominal Pain/etiology Treatment Outcome |
title_short |
Isolated Superior Mesenteric Artery Dissection, A Rare Cause Of Abdominal Pain |
title_full |
Isolated Superior Mesenteric Artery Dissection, A Rare Cause Of Abdominal Pain |
title_fullStr |
Isolated Superior Mesenteric Artery Dissection, A Rare Cause Of Abdominal Pain |
title_full_unstemmed |
Isolated Superior Mesenteric Artery Dissection, A Rare Cause Of Abdominal Pain |
title_sort |
Isolated Superior Mesenteric Artery Dissection, A Rare Cause Of Abdominal Pain |
author |
F Ribeiro, Tiago |
author_facet |
F Ribeiro, Tiago Soares Ferreira, Rita |
author_role |
author |
author2 |
Soares Ferreira, Rita |
author2_role |
author |
dc.contributor.none.fl_str_mv |
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) RUN |
dc.contributor.author.fl_str_mv |
F Ribeiro, Tiago Soares Ferreira, Rita |
dc.subject.por.fl_str_mv |
Male Humans Adult Mesenteric Artery, Superior/diagnostic imaging Aortic Dissection/complications Computed Tomography Angiography/adverse effects Abdominal Pain/etiology Treatment Outcome |
topic |
Male Humans Adult Mesenteric Artery, Superior/diagnostic imaging Aortic Dissection/complications Computed Tomography Angiography/adverse effects Abdominal Pain/etiology Treatment Outcome |
description |
A 42-year-old previously healthy male presented with 5 days of spontaneous mid-epigastric intense abdominal pain and mild epigastric tenderness on palpation. CT angiography revealed a Sakamoto type 2 isolated superior mesenteric artery dissection (SMA) with a "cul-de-sac" shaped false lumen (B- C: large arrow), side branch perfusion from both lumens, and compression of the true (A-D: small arrow) by the false lumen (A-D: large arrow). Dissection flap presented just distal to an aberrant right hepatic artery arising from the SMA (B.D: star). CT, clinical and analytic findings did not suggest visceral compromise and was successfully treated with bowel rest and anticoagulation. He is now on close clinical and imaging follow-up. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-03-10T22:52:31Z 2023-01-14 2023-01-14T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/150344 |
url |
http://hdl.handle.net/10362/150344 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2184-9927 PURE: 54549906 https://doi.org/10.48729/pjctvs.297 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
1 application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799138130508382208 |