A case report : spontaneous rupture of dissecting aneurysm of the middle colic artery
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- CHINO O
- Department of Surgery, Tokai University School of Medicine
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- KIJIMA Hiroshi
- Department of Pathology, Tokai University School of Medicine
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- SHIBUYA Makoto
- Department of Pathology, Tokai University School of Medicine
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- YAMAMOTO Soichiro
- Department of Surgery, Tokai University School of Medicine
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- KASHIWAGI Hiroyuki
- Department of Surgery, Tokai University School of Medicine
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- KONDO Yasumasa
- Department of Surgery, Tokai University School of Medicine
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- MAKUUCHI Hiroyasu
- Department of Surgery, Tokai University School of Medicine
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抄録
Aneurysms of the superior mesenteric artery branches are rarely reported, even among them colic artery aneurysms are seldom. We report a case of 78-year-old male with ruptured dissecting aneurysm of middle colic artery. The patient complained abdominal pain and nausea during hospital stay for renal stone. The patient suddenly developed severe abdominal pain, leading to shock. He underwent emergency surgery under a preoperative diagnosis of intraperitoneal hemorrhage. At exploratory laparotomy, a large hematoma involving the mesentery root of the transverse colon was associated with a ruptured aneurysm measuring 15×10mm in size, which was located to the mid-portion of middle colic artery. Right-hemicolectomy was carried out because of ischemic changes in the ascending colon. Histological examination demonstrated a ruptured dissecting aneurysm of the middle colic artery approximately 5cm in length, associated with destruction of the tunica interna and media. The aneurysm was thought to result from idiopathic segmental arterial mediolysis, because no definitive evidence of atherosclerosis or arteritis was observed.
収録刊行物
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- Tokai J Exp Clin Med
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Tokai J Exp Clin Med 29 155-158, 2004
東海大学
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詳細情報 詳細情報について
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- CRID
- 1570572702013519232
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- NII論文ID
- 110004701128
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- NII書誌ID
- AA00863975
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- ISSN
- 03850005
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- 本文言語コード
- en
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- データソース種別
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- CiNii Articles