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İzole Süperior Mezenter Arter Diseksiyonu: Olgu Sunumu

Year 2015, Volume: 6 Issue: 3, 52 - 55, 01.07.2015

Erdem Aksay Müge Gülen Akkan Avcı Muhammed Semih Gedik Duygu Selen Cengiz

Abstract

Giriş: Süperior mezenter arter diseksiyonu (SMA) aort
diseksiyonunun bir parçası olarak ortaya çıkabildiği gibi nadiren
izolede olabilir. Hastalar özellikle yemeklerden sonra başlayan
müphem bir karın ağrısı şikayetiyle başvururlar.
Olgu Sunumu: Biz bu yazıda fizik muayene ile uyumsuz inatçı
karın ağrısı şikayetiyle acil servise başvuran, izole spontan SMA
diseksiyonu tanısı konulan ve konservatif olarak tedavi edilen bir
olguyu son literatür bilgileri ışığında sunmak istedik.
Sonuç: SMA diseksiyonlarında klinik seyir birbirinden farklı
olabilir ve sonucunu tahmin etmek zordur. Bu klinik çeşitlilikten
ötürü konservatif tedaviden, endovasküler tedaviye ve cerrahi
revaskülarizasyona kadar değişen farklı tedavi yaklaşımları
mümkündür.

Keywords

Süperior mezenter arter diseksiyon karın ağrısı

References

  • Dobrucalı A. Barsakların vasküler hastalıkları. http://194.27.141.99/ dosya-depo/ders-notlari/ahmet-dobrucali/Akut-mesenterik-iskemi.pdf Erişim Tarihi: 28.03.2015
  • Bauersfeld SR. Dissecting aneurysm of the aorta; a presentation of 15 cases and a review of the recent literature. Ann Intern Med 1947; 26: 873-89. [CrossRef]
  • Yun WS, Kim YW, Park KB, Cho SK, Do YS, Lee KB, et al. Clinical and angiographic follow-up of spontaneous isolated superior mesenteric artery dissection. Eur J Vasc Endovasc Surg 2009; 37: 572-7. [CrossRef]
  • D'ambrosio N, Friedman B, Siegel D, Katz D, Newatia A, Hines J. Spontaneous isolated dissection of the celiac artery: CT findings in adults. AJR Am J Roentgenol 2007; 188: 506-11. [CrossRef]
  • Dong Z, Fu W, Chen B, Guo D, Xu X, Wang Y. Treatment of symptomatic isolated dissection of superior mesenteric artery. J Vasc Surg 2013; 57: 69-76. [CrossRef]
  • Katsura M, Mototake H, Takara H, Matsushima K. Management of spontaneous isolated dissection of the superior mesenteric artery: Case report and literature review. World J Emerg Surg 2011; 6: 16- 21. [CrossRef]
  • Solis MM, Ranval TJ, McFarland DR, Eidt JF. Surgicial treatment of superior mesenteric artery dissecting aneurysm and simultaneus celiac artery compression Ann Vasc Surg 1993; 7: 457-62. [CrossRef]
  • Oğuz A. Mezenterik vasküler hastalıklar. http://www.dicle.edu.tr/ Contents/42822b79-92f0-443d-908d-d2902296632b.pdf Erişim Tarihi: 28.03.2015.
  • Lim EH, Jung SW, Lee SH, Kwon BS, Park JY, Koo JS, et al. Endovasculer management for isolated spontaneus disection of the superior mesenteric artery: report of two cases and literature review. J Vasc Interv Radiol 2011; 22: 1206-11. [CrossRef]

Isolated Dissection of the Superior Mesenteric Artery: Case Report

Year 2015, Volume: 6 Issue: 3, 52 - 55, 01.07.2015

Erdem Aksay Müge Gülen Akkan Avcı Muhammed Semih Gedik Duygu Selen Cengiz

Abstract

Introduction: The dissection of the superior mesenteric artery (SMA) may occur as a part of aortic dissection or may be rarely isolated. Patients present with vague abdominal pain, particularly beginning after meals.Case Report: In the present report, we want to present a case admitted to the emergency department with an incompatible persistent abdominal pain with physical examination diagnosed, isolated spontaneous SMA dissection and treated conservatively in the light of recent literature.Conclusion: Clinical course in SMA dissection may be different from each other; thus, it is difficult to predict the outcome. Because of this clinical diversity, there are different treatment approaches ranging between conservative treatment, endovascular therapy, and surgical revascularization

Keywords

Superior mesenteric artery dissection abdominal pain

References

  • Dobrucalı A. Barsakların vasküler hastalıkları. http://194.27.141.99/ dosya-depo/ders-notlari/ahmet-dobrucali/Akut-mesenterik-iskemi.pdf Erişim Tarihi: 28.03.2015
  • Bauersfeld SR. Dissecting aneurysm of the aorta; a presentation of 15 cases and a review of the recent literature. Ann Intern Med 1947; 26: 873-89. [CrossRef]
  • Yun WS, Kim YW, Park KB, Cho SK, Do YS, Lee KB, et al. Clinical and angiographic follow-up of spontaneous isolated superior mesenteric artery dissection. Eur J Vasc Endovasc Surg 2009; 37: 572-7. [CrossRef]
  • D'ambrosio N, Friedman B, Siegel D, Katz D, Newatia A, Hines J. Spontaneous isolated dissection of the celiac artery: CT findings in adults. AJR Am J Roentgenol 2007; 188: 506-11. [CrossRef]
  • Dong Z, Fu W, Chen B, Guo D, Xu X, Wang Y. Treatment of symptomatic isolated dissection of superior mesenteric artery. J Vasc Surg 2013; 57: 69-76. [CrossRef]
  • Katsura M, Mototake H, Takara H, Matsushima K. Management of spontaneous isolated dissection of the superior mesenteric artery: Case report and literature review. World J Emerg Surg 2011; 6: 16- 21. [CrossRef]
  • Solis MM, Ranval TJ, McFarland DR, Eidt JF. Surgicial treatment of superior mesenteric artery dissecting aneurysm and simultaneus celiac artery compression Ann Vasc Surg 1993; 7: 457-62. [CrossRef]
  • Oğuz A. Mezenterik vasküler hastalıklar. http://www.dicle.edu.tr/ Contents/42822b79-92f0-443d-908d-d2902296632b.pdf Erişim Tarihi: 28.03.2015.
  • Lim EH, Jung SW, Lee SH, Kwon BS, Park JY, Koo JS, et al. Endovasculer management for isolated spontaneus disection of the superior mesenteric artery: report of two cases and literature review. J Vasc Interv Radiol 2011; 22: 1206-11. [CrossRef]
There are 9 citations in total.

Details

Other ID JA64RD64HE
Journal Section Case Report
Authors

Erdem Aksay This is me

Müge Gülen

Akkan Avcı This is me

Muhammed Semih Gedik

Duygu Selen Cengiz This is me

Publication Date July 1, 2015
Submission Date July 1, 2015
Published in Issue Year 2015 Volume: 6 Issue: 3

Cite

APA Aksay, E., Gülen, M., Avcı, A., Gedik, M. S., et al. (2015). Isolated Dissection of the Superior Mesenteric Artery: Case Report. Journal of Emergency Medicine Case Reports, 6(3), 52-55.
AMA Aksay E, Gülen M, Avcı A, Gedik MS, Cengiz DS. Isolated Dissection of the Superior Mesenteric Artery: Case Report. Journal of Emergency Medicine Case Reports. July 2015;6(3):52-55.
Chicago Aksay, Erdem, Müge Gülen, Akkan Avcı, Muhammed Semih Gedik, and Duygu Selen Cengiz. “Isolated Dissection of the Superior Mesenteric Artery: Case Report”. Journal of Emergency Medicine Case Reports 6, no. 3 (July 2015): 52-55.
EndNote Aksay E, Gülen M, Avcı A, Gedik MS, Cengiz DS (July 1, 2015) Isolated Dissection of the Superior Mesenteric Artery: Case Report. Journal of Emergency Medicine Case Reports 6 3 52–55.
IEEE E. Aksay, M. Gülen, A. Avcı, M. S. Gedik, and D. S. Cengiz, “Isolated Dissection of the Superior Mesenteric Artery: Case Report”, Journal of Emergency Medicine Case Reports, vol. 6, no. 3, pp. 52–55, 2015.
ISNAD Aksay, Erdem et al. “Isolated Dissection of the Superior Mesenteric Artery: Case Report”. Journal of Emergency Medicine Case Reports 6/3 (July 2015), 52-55.
JAMA Aksay E, Gülen M, Avcı A, Gedik MS, Cengiz DS. Isolated Dissection of the Superior Mesenteric Artery: Case Report. Journal of Emergency Medicine Case Reports. 2015;6:52–55.
MLA Aksay, Erdem et al. “Isolated Dissection of the Superior Mesenteric Artery: Case Report”. Journal of Emergency Medicine Case Reports, vol. 6, no. 3, 2015, pp. 52-55.
Vancouver Aksay E, Gülen M, Avcı A, Gedik MS, Cengiz DS. Isolated Dissection of the Superior Mesenteric Artery: Case Report. Journal of Emergency Medicine Case Reports. 2015;6(3):52-5.