A case of isolated SMA dissection with failed initial conservative management
Salma Emara, Madison Kropp, Masoud Akbari, Kristin Cook · 2024
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Description
Salma Emara, Madison Kropp, Masoud Akbari, and Kristin Cook report a case where watchful waiting failed for a torn main gut artery. Isolated dissection of the superior mesenteric artery is uncommon, often found by chance during scans for belly pain, and it has no settled treatment guideline. Their patient, a sixty-year-old man, arrived with acute abdominal pain, and imaging confirmed the dissection.
He was first managed without surgery, but his pain worsened, his blood pressure spiked into crisis, and follow-up imaging showed bleeding into the abdomen. An angiogram found a pseudoaneurysm, a ballooning weak spot in the artery wall, which the team closed with coil embolization. The authors note that the lack of long-term data on relapse leaves the value of nonoperative care in doubt, and they call for clear guidelines on when to intervene early.
Catalog record
| CREATOR | Salma Emara, Madison Kropp, Masoud Akbari, Kristin Cook |
|---|---|
| YEAR | 2024 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 8 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |