Spontaneous dissection of the superior mesenteric artery as a rare cause of acute abdomen: report of two cases.
Spontaneous dissection of the superior mesenteric artery (SMA) is a rare condition. Here we report 2 cases of spontaneous SMA dissection causing acute abdomen. Bowel infarction did not occur in either case despite total occlusion or severe stenosis of the SMA;we successfully managed isolated SMA dissection without surgical intervention. Our nonoperative management regimen for spontaneous SMA dissection consisted of intestinal rest with fasting, administration of a vasodilator, and blood pressure control. Surgical intervention should be unnecessary unless complications, such as intestinal infarction and abdominal angina, occur.
Totsugawa
Toshinori
T
Department of Cardiovascular Surgery,The Sakakibara Heart Institute of Okayama, Okayama 700-0823, Japan. toshinoritotsugawa@mac.com
Kuinose
Masahiko
M
Ishida
Atsuhisa
A
Tamaki
Takahiko
T
Yoshitaka
Hidenori
H
Tsushima
Yoshimasa
Y
D000006:Abdomen, Acute / Q000209:etiology* / Q000473:pathology* / Q000628:therapy; D002561:Cerebrovascular Disorders / Q000150:complications* / Q000473:pathology* / Q000628:therapy; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000473:pathology*; D008875:Middle Aged