Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
Gastrointestinal Diseases
Spontaneous Dissection of the Superior Mesenteric Artery in Four Cases Treated with Anticoagulation Therapy
Takayuki NAGAIRyutaro TORISHIMAAkihiro UCHIDAHiroshi NAKASHIMAKenji TAKAHASHIHitoshi OKAWARAMasatoshi OGAKoji SUZUKIShinji MIYAMOTORyugo SATOKazunari MURAKAMIToshio FUJIOKA
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JOURNALS OPEN ACCESS

2004 Volume 43 Issue 6 Pages 473-478

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Abstract

Reports of spontaneous dissection of the superior mesenteric artery are rare. Diagnosis in the acute stage has been considered difficult, but we encountered four cases from November 1998 to November 2001. All four cases were diagnosed using abdominal CT scanning in the acute stage and could be treated conservatively. All patients were provided anticoagulation therapy upon fasting. The mean period of continuous abdominal pain was 10.2 days, the mean period of fasting was 27.2 days, and the mean number of in-hospital days was 44.5. There is no established opinion on treatment, but conservative treatment is considered possible if there are no symptoms or if it has not been aggravated.

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© 2004 by The Japanese Society of Internal Medicine
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