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.
Nagai
Takayuki
T
Department of Gastroenterology, Oita Kouseiren Tsurumi Hospital, Beppu.
Torishima
Ryutaro
R
Uchida
Akihiro
A
Nakashima
Hiroshi
H
Takahashi
Kenji
K
Okawara
Hitoshi
H
Oga
Masatoshi
M
Suzuki
Koji
K
Miyamoto
Shinji
S
Sato
Ryugo
R
Murakami
Kazunari
K
Fujioka
Toshio
T
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