Document Detail


Conservative management of symptomatic spontaneous isolated dissection of the superior mesenteric artery.
MedLine Citation:
PMID:  19526615     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Spontaneous isolated dissection of the superior mesenteric artery (SMA) is uncommon. Because of its rarity, the risk factors, aetiology and natural history are unclear, and there is no consensus on the optimal treatment strategy. METHODS: Seven consecutive patients with symptomatic spontaneous isolated SMA dissection who received conservative treatment between March 2003 and February 2008 were included in this study. Their clinical characteristics, treatment methods and outcomes were analysed retrospectively. RESULTS: Acute abdominal pain was the most common clinical manifestation. Initial contrast-enhanced dynamic computed tomography (CT) showed isolated SMA dissection with partial thrombosis in all seven patients. Full anticoagulation was carried out immediately after the diagnosis. Clinical symptoms disappeared within 14 days and follow-up CT showed complete resolution of the dissection in four patients. After a mean follow-up of 23 months, there was no mortality or morbidity related to the dissection. CONCLUSION: In patients with symptomatic spontaneous isolated dissection of the SMA, conservative management is feasible if there is no evidence of bowel infarction or bleeding.
Authors:
Y P Cho; G Y Ko; H K Kim; K M Moon; T W Kwon
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  96     ISSN:  1365-2168     ISO Abbreviation:  Br J Surg     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-06-22     Completed Date:  2009-07-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  720-3     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2009 British Journal of Surgery Society Ltd.
Affiliation:
Division of Vascular Surgery, Department of Surgery, Asan Medical Centre, University of Ulsan College of Medicine, 388-1 Pungnap-2dong, Songpa-gu, 138-736, Seoul, Korea. ypcho@amc.seoul.kr
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / etiology
Adult
Anticoagulants / therapeutic use*
Female
Humans
Male
Mesenteric Artery, Superior / radiography
Mesenteric Vascular Occlusion / drug therapy*,  radiography
Middle Aged
Retrospective Studies
Risk Factors
Thrombosis / drug therapy*,  radiography
Tomography, X-Ray Computed*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anticoagulants

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