Superior mesenteric artery dissection: case report.
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.
Gouëffic
Yann
Y
Department of Vascular Surgery, Hôpital Guillaume et René Laënnec, Boulevard J Monod St Herblain, 44093 Nantes cédex 1, France.
Costargent
Alain
A
Dupas
Benoît
B
Heymann
Marie-Françoise
MF
Chaillou
Philippe
P
Patra
Philippe
P
D004210:Dissection; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging* / Q000601:surgery*; D008875:Middle Aged; D012422:Rupture, Spontaneous / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed