Isolated, Spontaneous Superior Mesenteric and Celiac Artery Dissection: Case Report and Review of Literature

Kang, Tarina L.; Teich, Douglas L.; McGillicuddy, Daniel C.

doi:10.1016/j.jemermed.2007.12.038

Cited by 32 publications

(25 citation statements)

References 29 publications

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“…syphilis), which were common in the 19th century, now very rare. 1 In our patient, the most likely contributing factors were hypertension, atherosclerosis and smoking leading to medial degeneration. Most are asymptomatic, with approximately 85 percent discovered incidentally on imaging, while only 7 percent are discovered by autopsy.…”

Section: Discussionmentioning

confidence: 60%

An anomalous engenderment of a common scenario: upper gastrointestinal bleeding

et al. 2017

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Upper gastrointestinal bleeding (UGIB) includes hemorrhage originating from the esophagus to the ligament of Treitz. It is a gastrointestinal emergency that can result in significant morbidity, mortality, along with laborious utilization of health-care resources. With the advent of definite management protocols, the recent trends have revealed that patients rarely die from exsanguination, with decompensation of the underlying disorders, rather, proving to be causative of the same. Rapid assessment, resuscitation, and early endoscopic investigation serve as the foundation of early management. Common sinister underlying aetiology include Oesophageal Varices, Peptic Ulcer Disease, NSAID Induced Acute Gastritis or Malignancy. Arising from a conglomeration of aetiologies, an infrequent one, is a silently sinister pseudoaneurym rupturing into the stomach, stemming from a visceral artery. Since the first description by Beaussier in 1770, the condition has been detected with increasing frequency, primarily as a consequence of the increasing use of accurate imaging methods. Coeliac artery aneurysms (CAAs) occur in approximately 0.2% of the overall population and constitute approximately 4% of all visceral artery aneurysms (VAAs). Their risk of rupture is estimated at 10% to 15% and is associated with high mortality. Associated risk factors include atherosclerosis, hypertension, systemic inflammation, trauma, collagen vascular disease, infection, fibromuscular dysplasia, and cirrhosis

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Section: Discussionmentioning

confidence: 60%

An anomalous engenderment of a common scenario: upper gastrointestinal bleeding

et al. 2017

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“…Furthermore, patients may, occasionally, be completely asymptomatic. 12 The natural history is unpredictable, and spontaneous resolution, definitive occlusion, aneurysm formation, or rupture may occur. The prognosis depends on the extent of the involvement of sub-segmental branches.…”

Section: Discussionmentioning

confidence: 99%

“…Abdominal echocolor Doppler can be useful for demonstrating and following up hemodynamic changes within the SMA, bowel movements, and signs of bowel ischemia, such as wall thickening and dilated intestinal loops. [7][8][9][10][11][12][13] Angiography is currently the gold standard imaging technique for diagnosing SMA dissection. 16 Recently, contrast-enhanced computed tomography (CT) has become the most reliable diagnostic modality; indeed, diagnosis in the acute stage has become possible as a result of advanced and increasing use of CT imaging techniques, 17 such as MDCT, leading to multiplanar reconstruction and reconstruction imaging, 18 and computed tomography angiography (CTA).…”

Section: Discussionmentioning

confidence: 99%

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

Mansueto

Sprini²,

Carroccio³

et al. 2013

Ital J Med

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“…Mehrfach wird in der Literatur auch über ein erfolgreiches konservatives Vorgehen berichtet [6,7,9,11]. Letzteres setzt eine ausreichende Restperfusion der Arterie und engmaschige Verlaufskontrollen voraus.…”

Section: Radiologische Befundeunclassified