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Isolated dissection of the superior mesenteric artery: a case report and literature review

Aurelio Seidita, Filippo Barbiera, Elena Murmura, Maria Accardi, Alberto D'Alcamo, Giusi Randazzo, Pasquale Mansueto, Antonio Carroccio, Delia Sprini
  • Aurelio Seidita
    Internal Medicine, Department of Internal and Specialist Medicine, University Hospital of Palermo, Italy | aurelio.seidita@unipa.it
  • Filippo Barbiera
    Radiology, Hospital of Sciacca, ASP Agrigento, Italy
  • Elena Murmura
    Radiology, Hospital of Sciacca, ASP Agrigento, Italy
  • Maria Accardi
    Internal Medicine, Hospital of Sciacca, ASP Agrigento, Italy
  • Alberto D'Alcamo
    Internal Medicine, Department of Internal and Specialist Medicine, University Hospital of Palermo, Italy
  • Giusi Randazzo
    Internal Medicine, Department of Internal and Specialist Medicine, University Hospital of Palermo, Italy
  • Pasquale Mansueto
    Internal Medicine, Department of Internal and Specialist Medicine, University Hospital of Palermo, Italy
  • Antonio Carroccio
    Internal Medicine, Hospital of Sciacca, ASP Agrigento, Italy
  • Delia Sprini
    Internal Medicine, Department of Internal and Specialist Medicine, University Hospital of Palermo, Italy

Abstract

Isolated dissection of the superior mesenteric artery is rare; it is predominantly observed in men with the highest incidence in those over 40 years old. Contrast-enhanced multi-detector computed tomography is considered essential for the diagnosis, therapeutic management and follow-up. The therapeutic approach ranges from conservative medical treatment to surgery or endovascular stent placement, but there are, to date, no approved guidelines. We report the case of a 68-year old man who entered our Emergency Department just for mild abdominal pain, which later proved to be due to acute dissection of the superior mesenteric artery.

Keywords

superior mesenteric artery dissection, acute abdomen, mesenteric ischemia.

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Submitted: 2013-03-28 19:38:22
Published: 2013-10-30 11:23:42
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Copyright (c) 2013 Aurelio Seidita, Filippo Barbiera, Elena Murmura, Maria Accardi, Alberto D'Alcamo, Giusi Randazzo, Pasquale Mansueto, Antonio Carroccio, Delia Sprini

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