https://doi.org/10.4081/itjm.2013.168

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

Vol. 8 No. 1 (2014)
Submitted: 28 March 2013
Accepted: 27 May 2013
Published: 30 October 2013
superior mesenteric artery dissection, acute abdomen, mesenteric ischemia.
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Authors

Aurelio Seidita
aurelio.seidita@unipa.it
Internal Medicine, Department of Internal and Specialist Medicine, University Hospital of Palermo, Italy.
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.
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.

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How to Cite

Seidita, A., Barbiera, F., Murmura, E., Accardi, M., D’Alcamo, A., Randazzo, G., Mansueto, P., Carroccio, A., & Sprini, D. (2013). Isolated dissection of the superior mesenteric artery: a case report and literature review. Italian Journal of Medicine, 8(1), 56–63. https://doi.org/10.4081/itjm.2013.168

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