Superior mesenteric artery dissection: case report.

Gouëffic, Yann; Costargent, Alain; Dupas, Benoît; Heymann, Marie-Françoise; Chaillou, Philippe; Patra, Philippe · J Vasc Surg · 2002

case_report · Level V

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Abstract

Spontaneous dissections of the superior mesenteric artery are exceptional events because only 26 reports have been published. We present a new case, revealed with an acute abdominal syndrome. Computed tomographic angiography and arteriography allowed a rapid diagnosis and urgent surgical intervention. Progress in imagery makes diagnosis and follow-up examination easier. Surgery is indicated for acute symptomatic forms with suspicion of mesenteric ischemia. In the other cases, a simple follow-up examination may be appropriate.

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