BÓC TÁCH ĐỘNG MẠCH MẠC TREO TRÀNG TRÊN ĐƠN ĐỘC CHẨN ĐOÁN VÀ ĐIỀU TRỊ

Le Thanh Dung1, Le Thi Hong Phuong1, Pham Huu Khuyen1, Vu Hai Thanh1,
1 Diagnostic Imaging Department of Viet Duc Hospital

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Abstract

SUMMARY
Isolated superior mesenteric artery (SMA) dissection, with no other abnormality or aortic dissection, is unusual. Diagnosis base on the aid of Doppler and 64-slice multidetector CT. We report two cases of isolated spontaneous
SMA dissection without aortic involvement in two patients who had presented with epigastric pain that was especially worse after food intake. Examen on 64-slice multidetector CT show an isolated SMA dissection, not involving the aorta. These patients were managed conservatively with anticoagulants.

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References

TÀI LIỆU THAM KHẢO
1. Miyamoto N, Sakurai Y, Hirokami M, Takahashi
K, Nishimori H, Tsuji K, et al. Endovascular stent placement for isolated spontaneous dissection of the superior mesenteric artery: report of a case. Radiat Med. (2005). 520–524.
2. Suzuki S, Furui S, Kohtake H, Sakamoto T, Yamasaki M, Furukawa A, et al. Isolated dissection of superior mesenteric artery: CT findings in 6 cases. Abdom Imaging. (2004). 153–157.
3. Javerliat I, Becquemin JP, d’Audiffret A. Spontaneous isolated dissection of superior mesenteric artery. Eur J Vasc Endovasc Surg. (2003). 180–184.
4. Takayama H, Takeda S, Saitoh SK, Hayashi H, Takano T, Tanaka K. Spontaneous isolated dissection of superior mesenteric artery. Intern Med. (2002). 713–
716.
5. Dushnitsky T, Peer A, Katzenelson L, Strauss S. Dissecting aneurysm of superior mesenteric artery: Flow dynamics by colour Doppler sonography. J Ultrasound Med. (1998). 781–783.
6. Hirai S, Hamanaka Y, Mitsui N, Isaka M, Kobayashi T. Spontaneous and isolated dissection of main trunk of the superior mesenteric artery. Ann Thorac Cardiovasc Surg. (2002).236–240.
7. Sheldon PJ, Esther JB, Sheldon EL, Sparks SR, Brophy DP, Oglevie SB. Spontaneous dissection of the superior mesenteric artery. Cardiovasc Intervent Radiol. (2001).329–331.
8. Dong-lin L, Yang-yan H, Adel MA, Xu-dong C, Wei J, Ming L, Hong-kun Z, Ting-bo L. Management strategy for spontaneous isolated dissection of the superior mesenteric artery based on morphologic classification. Journal of vascular surgery. (8/2014). 165-172.
9. Lauterbach, S.R., Cambria, R.P., Brewster, D.C., Gertler, J.P., Lamuraglia, G.M., Isselbacher, E.M., Hilgenberg, A.D., and Moncure, A.C. Contemporary management of aortic branch compromise resulting from acute aortic dissection. J Vasc Surg. (2001); 33: 1185–1192
10. Yasuhara, H., Shigematsu, H., and Muto, T. Self-limited spontaneous dissection of the main trunk of the superior mesenteric artery. J Vasc Surg. (1998); 27: 776–779.
11. Sakamoto I, Ogawa Y, Sueyoshi E, et al. Imaging appearances and management of isolated spontaneous dissection of the superior mesenteric artery. Eur J Radiol (2007); 64: 103-10.
12. Palle Lalitha, Balaji Reddy, Isolated superior mesenteric artery dissection, Indian J Radiol Imaging. (2010); 20(2): 132–134.