Spontaneous dissection of the superior mesenteric artery in four cases treated with anticoagulation therapy.
Reports of spontaneous dissection of the superior mesenteric artery are rare. Diagnosis in the acute stage has been considered difficult, but we encountered four cases from November 1998 to November 2001. All four cases were diagnosed using abdominal CT scanning in the acute stage and could be treated conservatively. All patients were provided anticoagulation therapy upon fasting. The mean period of continuous abdominal pain was 10.2 days, the mean period of fasting was 27.2 days, and the mean number of in-hospital days was 44.5. There is no established opinion on treatment, but conservative treatment is considered possible if there are no symptoms or if it has not been aggravated.
Department of Gastroenterology, Oita Kouseiren Tsurumi Hospital, Beppu.
Takayuki
T
Nagai
Ryutaro
R
Torishima
Akihiro
A
Uchida
Hiroshi
H
Nakashima
Kenji
K
Takahashi
Hitoshi
H
Okawara
Masatoshi
M
Oga
Koji
K
Suzuki
Shinji
S
Miyamoto
Ryugo
R
Sato
Kazunari
K
Murakami
Toshio
T
Fujioka
D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000188:drug therapy*; D000925:Anticoagulants / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior; D008875:Middle Aged; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014463:Ultrasonography
D000925:Anticoagulants