Isolated Superior Mesenteric Artery Dissection, A Rare Cause Of Abdominal Pain

Detalhes bibliográficos
Autor(a) principal: F. Ribeiro, Tiago
Data de Publicação: 2023
Outros Autores: Soares Ferreira, Rita
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.48729/pjctvs.297
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.
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spelling Isolated Superior Mesenteric Artery Dissection, A Rare Cause Of Abdominal PainA 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.SOCIEDADE PORTUGUESA DE CIRURGIA CARDIO-TORÁCICA E VASCULAR2023-01-14info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.48729/pjctvs.297https://doi.org/10.48729/pjctvs.297Portuguese Journal of Cardiac Thoracic and Vascular Surgery; Vol. 29 No. 4 (2022): Oct - Dec; 732184-9927reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://pjctvs.com/index.php/journal/article/view/297https://pjctvs.com/index.php/journal/article/view/297/289Copyright (c) 2023 Portuguese Journal of Cardiac Thoracic and Vascular Surgeryinfo:eu-repo/semantics/openAccessF. Ribeiro, TiagoSoares Ferreira, Rita2023-01-21T04:40:26Zoai:oai.pjctvs.com:article/297Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:45:24.543774Repositório 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
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.author.fl_str_mv F. Ribeiro, Tiago
Soares Ferreira, Rita
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 2023-01-14
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 https://doi.org/10.48729/pjctvs.297
https://doi.org/10.48729/pjctvs.297
url https://doi.org/10.48729/pjctvs.297
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://pjctvs.com/index.php/journal/article/view/297
https://pjctvs.com/index.php/journal/article/view/297/289
dc.rights.driver.fl_str_mv Copyright (c) 2023 Portuguese Journal of Cardiac Thoracic and Vascular Surgery
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Portuguese Journal of Cardiac Thoracic and Vascular Surgery
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv SOCIEDADE PORTUGUESA DE CIRURGIA CARDIO-TORÁCICA E VASCULAR
publisher.none.fl_str_mv SOCIEDADE PORTUGUESA DE CIRURGIA CARDIO-TORÁCICA E VASCULAR
dc.source.none.fl_str_mv Portuguese Journal of Cardiac Thoracic and Vascular Surgery; Vol. 29 No. 4 (2022): Oct - Dec; 73
2184-9927
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
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