Clinical study of dissection of the superior mesenteric artery.

DOI PubMed 20 Citations 27 References
  • KIMURA Mariko
    Depertment of Internal Medicine, Yamagata Prefectural Central Hospital
  • MATSUDA Toru
    Depertment of Internal Medicine, Yamagata Prefectural Central Hospital
  • FUKASE Kazutoshi
    Depertment of Internal Medicine, Yamagata Prefectural Central Hospital
  • OKUMOTO Kazuo
    Depertment of Internal Medicine, Yamagata Prefectural Central Hospital
  • MABE Katsuhiro
    Depertment of Internal Medicine, Yamagata Prefectural Central Hospital
  • SUZUKI Katsunori
    Depertment of Internal Medicine, Yamagata Prefectural Central Hospital
  • AOYAMA Ichiro
    Depertment of Internal Medicine, Yamagata Prefectural Central Hospital
  • SAKAI Jyunichi
    Depertment of Internal Medicine, Yamagata Prefectural Central Hospital
  • SAITO Hiroshi
    Depertment of Internal Medicine, Yamagata Prefectural Central Hospital
  • SATO Shinichiro
    Depertment of Internal Medicine, Yamagata Prefectural Central Hospital

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Other Title
  • 上腸間膜動脈解離の臨床的検討

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Abstract

Six patients with dissection of the superior mesenteric artery (SMA) who were treated at our hospital between 1993 and 1999 were studied. Hypertension was considered significant as a risk factor. The clinical features were characterized by severe abdominal pain which radiated posteiorly, back pain, weak bowel sounds and exacerbation by eating. An ultrasonographic examination and a computed tomographic scan of the abdomen were useful for diagnosis. Four cases showed full recovery under conservative management with anticoagulant or antiplatelet drugs. Two cases without recovery should be considered intervention if they have progressive courses. This disease should be kept in mind on differential diagnosis of abdominal pain, because it may be overlooked without a correct diagnosis.

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