Chaillou P, Moussu P, Noel S F, Sagan C, Pistorius M A, Langlard J M, Patra P
Clinique Chirurgicale Thoracique, Hopital René et Guillaume Laennec, France.
Ann Vasc Surg. 1997 Jul;11(4):413-5. doi: 10.1007/s100169900070.
We describe a case of intestinal angina caused by spontaneous dissection of the celiac artery and thrombosis of the superior mesenteric artery. Spontaneous dissection of a visceral artery is an uncommon occurrence that is usually diagnosed after fatal hemorrhage or ischemia. The underlying mechanism is unclear but the frequent association with multiple arterial lesions suggests general arterial disease. In symptomatic forms, surgical reconstruction is mandatory, to treat the lesion and allow definitive histological diagnosis.
我们描述了一例由腹腔干自发性夹层和肠系膜上动脉血栓形成引起的肠绞痛病例。内脏动脉自发性夹层是一种罕见的情况，通常在致命性出血或缺血后才得以诊断。其潜在机制尚不清楚，但常与多发性动脉病变相关，提示存在全身性动脉疾病。对于有症状的病例，必须进行手术重建，以治疗病变并获得明确的组织学诊断。
