Transient ischemic jejunitis due to symptomatic isolated superior mesenteric artery dissection: case report and review of literature.

Clujul medical (1957) Pub Date : 2017-01-01 Epub Date: 2017-01-15 DOI:10.15386/cjmed-719
Mihaela Mocan, Ionuţ Isaia Jeican, Mihai Moale, Romeo Chira
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引用次数: 1

Abstract

Acute abdominal pain is one of the most common conditions encountered in the emergency department. The differential diagnosis of acute abdominal pain is extensive and identifying the underlying etiology can be challenging. We report a case of acute transient ischemic jejunitis due to symptomatic isolated superior mesenteric artery dissection in a patient with no cardiovascular risk factors or autoimmune diseases. Symptomatic isolated superior mesenteric artery dissection is a rare cause of acute abdominal pain usually treated in the surgical department. The patient had criteria for conservative treatment and rapidly recovered. We highlight a rare condition which should be taken into account for the differential diagnosis of acute abdominal pain.

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症状性孤立性肠系膜上动脉夹层致短暂性缺血性空肠炎1例报告及文献复习。
急性腹痛是急诊科最常见的症状之一。急性腹痛的鉴别诊断是广泛的,确定潜在的病因可能是具有挑战性的。我们报告一例急性短暂性缺血性空肠炎,由于症状孤立的肠系膜上动脉夹层的病人没有心血管危险因素或自身免疫性疾病。症状性孤立性肠系膜上动脉夹层是一种罕见的急性腹痛原因,通常在外科治疗。患者符合保守治疗标准,恢复迅速。我们强调一个罕见的条件,应考虑到鉴别诊断急性腹痛。
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