title: [Isolated spontaneous dissection of the superior mesenteric artery in two cases treated with conservative therapy].
abstract: We report two cases of isolated spontaneous dissection of the superior mesenteric artery (SMA). Both patients complained of abdominal pain with sudden onset and were given diagnoses of dissection of the SMA based on abdominal CT scanning. CT showed dissention of the SMA with thrombosis of the false lumen and narrowing of the true lumen. Therefore there were no symptoms of bowel ischemia, and after hospitalization both cases received conservative therapy with anticoagulation and antiplatelet therapy. Spontaneous dissection of the SMA without aortic dissection is very rare, and only 53 cases have been recorded in Japan.
authors: Department of Surgery, Tokai University, school of Medicine. furufuru@is.icc.u-tokai.ac.jp
authors: Daisuke
authors: D
authors: Furukawa
authors: Shoichi
authors: S
authors: Dowaki
authors: Hideki
authors: H
authors: Izumi
authors: Yuichi
authors: Y
authors: Okamoto
authors: Toshihide
authors: T
authors: Imaizumi
authors: Hiroyasu
authors: H
authors: Makuuchi
mesh_terms: D000784:Aortic Dissection / Q000188:drug therapy*; D000925:Anticoagulants / Q000627:therapeutic use; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior; D008875:Middle Aged; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use
chemical_list: D000925:Anticoagulants; D010975:Platelet Aggregation Inhibitors