경피 스텐트삽입술로 치료한 상장간막동맥박리 1예open accessA Case of Spontaneous Dissection of the Superior Mesenteric Artery Treated by Percutaneous Stent Placement
- Authors
- Ko, Geun Jun; Han, Ki Jun; Han, Seo Goo; Hwang, Sang Yon; Choi, Chang Hwan; Gham, Chang Woo; Cho, Hyeon Geun; Song, Soon-Young; Jung, Jin Ho
- Issue Date
- Feb-2006
- Publisher
- 대한소화기학회
- Keywords
- Spontaneous dissection; Superior mesenteric artery; Stent placement
- Citation
- 대한소화기학회지, v.47, no.2, pp 168 - 172
- Pages
- 5
- Journal Title
- 대한소화기학회지
- Volume
- 47
- Number
- 2
- Start Page
- 168
- End Page
- 172
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/29283
- ISSN
- 1598-9992
2233-6869
- 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.
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