Aydin Sonay, Ergun Elif, Fatihoglu Erdem, Durhan Gamze, Kosar Pinar Nercis
Department of Radiology, Ministry of Health, Ankara Education and Research Hospital, Ankara, Turkey.
Pol J Radiol. 2015 Oct 13;80:470-2. doi: 10.12659/PJR.895048. eCollection 2015.
Arterial dissection is defined as the cleavage of the arterial wall by an intramural hematoma. Reports of dissection of the celiac and/or superior mesenteric artery are rare; as far as we know, only 24 cases of spontaneous isolated celiac trunk dissection, and 71 cases of spontaneous isolated superior mesenteric artery dissection have been reported.
The case presents a 48-year-old male with a sudden-onset epigastric pain. A Computed Tomography Angiography of the thoracoabdominal aorta was applied and dissections of both the celiac artery and SMA were determined. A conservative therapeutic approach was preferred and the patient was discharged with anticoagulant and antihypertensive therapy.
Although rare, spontaneous isolated celiac artery and superior mesenteric artery dissections must be kept in mind in the differential diagnosis of the epigastric pain in the emergency room. Contrast-enhanced Computed Tomography Angiography examination is the method of choice in the diagnosis.
动脉夹层被定义为动脉壁被壁内血肿劈开。腹腔干和/或肠系膜上动脉夹层的报道很少；据我们所知，仅报道了24例自发性孤立性腹腔干夹层和71例自发性孤立性肠系膜上动脉夹层。
该病例为一名48岁男性，突发上腹部疼痛。进行了胸腹主动脉计算机断层血管造影，确定腹腔动脉和肠系膜上动脉均有夹层。首选保守治疗方法，患者接受抗凝和降压治疗后出院。
尽管罕见，但在急诊室对上腹部疼痛进行鉴别诊断时，必须考虑自发性孤立性腹腔动脉和肠系膜上动脉夹层。增强计算机断层血管造影检查是诊断的首选方法。
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