tailieunhanh - Báo cáo y học: "Spontaneous dissection of the superior mesenteric artery and the right hepatic artery: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài:Spontaneous dissection of the superior mesenteric artery and the right hepatic artery: a case report | Buchs et al. Journal of Medical Case Reports 2010 4 87 http content 4 1 87 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Spontaneous dissection of the superior mesenteric artery and the right hepatic artery a case report Nicolas C Buchs 1 Pierre Charbonnet1 Frank Schwenter1 Christoph D Becker2 Philippe Morel1 Sylvain Terraz2 Abstract Introduction Isolated spontaneous dissection of the superior mesenteric artery is a very rare condition. Endovascular stent placement has been proposed recently for selected cases which has led to some good clinical results. Case presentation We report a case of spontaneous dissection of the superior mesenteric artery spreading to the origin of a right hepatic artery in a 48-year-old Chinese man. He benefited from the placement of an endovascular stent that yielded excellent results. Conclusion Endovascular stent placement is a good alternative treatment for dissection of the superior mesenteric artery. We propose an algorithm for the management of this rare condition. Introduction Isolated spontaneous dissection of the superior mesenteric artery SMA without the involvement of the abdominal aorta is a very rare condition 1 2 . Fewer than 80 cases have been reported in the literature since the first case described by Bauerfeld in 1947 3 . The majority of patients who present with hypovolemic shock or peritonitis are treated surgically 4 5 while asymptomatic patients have occasionally been managed conservatively 1 6 7 . Recently endovascular stent placement has been proposed for selected cases and this has led to some good results 2 8-11 . We report a case of spontaneous dissection of the SMA that had spread to the origin of the right hepatic artery. We describe a relatively new and promising therapeutic approach in this case report. Finally we propose an algorithm for the management of an isolated dissection of the SMA. Case presentation A 48-year-old Chinese man was admitted to the Emergency

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