Department of Radiology, Shiga University of Medical Science, Shiga, Japan.
Minim Invasive Ther Allied Technol. 2021 Aug;30(4):245-249. doi: 10.1080/13645706.2020.1732426. Epub 2020 Feb 26.
A 77-year-old woman who had experienced postprandial abdominal pain for four years was admitted to our institution presenting sudden and severe abdominal pain. Contrast-enhanced computed tomography (CECT) demonstrated complete short-segmented occlusion in the orifice of the superior mesenteric artery (SMA), and saccular aneurysms in the right hepatic artery and the anterior superior pancreaticoduodenal artery. She was diagnosed with abdominal angina due to occlusion of the SMA. The SMA was recanalized by stenting, and a CECT scan confirmed naturally shrunk aneurysms after eight months. The patency of the SMA was maintained at five years after endovascular treatment.
一位 77 岁女性，因餐后腹痛 4 年余入院，此次以突发剧烈腹痛为主诉就诊。增强 CT 示肠系膜上动脉（SMA）开口处完全节段性闭塞，肝右动脉及胰十二指肠上前动脉见囊状动脉瘤。诊断为 SMA 闭塞致腹绞痛。行支架血管内开通，8 个月后 CECT 扫描证实动脉瘤自然缩小。血管内治疗后 5 年 SMA 保持通畅。
