A Case of Spontaneous Dissection of the Superior Mesenteric Artery Treated by Percutaneous Stent Placement.
- Author:
Geun Jun KO
1
;
Ki Jun HAN
;
Seo Goo HAN
;
Sang Yon HWANG
;
Chang Hwan CHOI
;
Chang Woo GHAM
;
Hyeon Geun CHO
;
Soon Young SONG
;
Jin Ho JUNG
Author Information
1. Department of Internal Medicine, Kwandong University College of Medicine, Goyang, Korea. chg21@kwandong.ac.kr
- Publication Type:Case Report ; English Abstract
- Keywords:
Spontaneous dissection;
Superior mesenteric artery;
Stent placement
- MeSH:
Acute Disease;
Aged;
Aneurysm, Dissecting/complications/*therapy;
*Angioplasty, Balloon;
Female;
Humans;
Ischemia/etiology;
*Mesenteric Artery, Superior;
Mesenteric Vascular Occlusion/etiology;
*Stents
- From:The Korean Journal of Gastroenterology
2006;47(2):168-172
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute mesenteric ischemia can result from emboli, arterial and venous thrombi or vasoconstriction secondary to low-flow states. Isolated spontaneous dissection of the superior mesenteric artery is a rare cause of acute mesenteric ischemia. The mortality rates of acute mesenteric ischemia averages 71% with a range of 59-93%. Diagnosis before the occurrence of intestinal infarction is the most important factor in improving survival rate for patients with acute mesenteric ischemia. A 68-year-old female presented with postprandial epigastric pain, and a dissection of the superior mesenteric artery and a gallbladder polyp were shown in abdominal computed tomographic scan. After the percutaneous metalic stent placement and laparoscopic cholecystectomy, her symptoms improved. We report a case of spontaneous dissection of main trunk of the superior mesenteric artery which was successfully treated by percutaneous stent placement with a review of literature.
