Document Detail

An isolated dissecting aneurysm of the superior mesenteric artery: report of a case.
MedLine Citation:
PMID:  7894196     Owner:  NLM     Status:  MEDLINE    
We report herein the case of a 56-year-old man found to have an isolated dissecting aneurysm of the superior mesenteric artery (SMA) after he presented with a 3-day history of postprandial epigastralgia of sudden onset. An echogram showed marked dilatation of the SMA and a high level of peripheral echoes in a linear fashion within its lumen. A thin-section contrast enhanced computed tomography revealed a thin flap, separating two distinct well-enhanced lumina. Angiography confirmed the presence of a localized dissecting aneurysm of the SMA. The patient was treated conservatively and has since been followed up as an outpatient. Following the presentation of this case, the problems regarding the diagnosis and management of this rare disease are discussed based on a review of the literature.
T Ambo; Y Noguchi; H Iwasaki; J Kondo; A Matsumoto; H Suzuki; Y Takamura
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgery today     Volume:  24     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  1994  
Date Detail:
Created Date:  1995-04-21     Completed Date:  1995-04-21     Revised Date:  2006-08-03    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  933-6     Citation Subset:  IM    
First Department of Surgery, Yokohama City University School of Medicine, Japan.
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MeSH Terms
Aneurysm, Dissecting / diagnosis*,  drug therapy
Mesenteric Artery, Superior / radiography*,  ultrastructure*
Middle Aged
Tomography, X-Ray Computed
Ultrasonography, Doppler, Color

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