Spontaneous dissection with rupture of the superior mesenteric artery from segmental arterial mediolysis
Spontaneous dissection of the superior mesenteric artery (SMA) is rare. We report a case of rupture of the SMA after spontaneous dissection in a 51-year-old male who presented with acute onset of abdominal pain and hypotension. The patient was initially treated with intravenous fluid resuscitation a...
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| Veröffentlicht in: | Journal of vascular surgery 2011-04, Vol.53 (4), p.1107-1112 |
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| creator | Tameo, Michael N., MD Dougherty, Matthew J., MD Calligaro, Keith D., MD |
| description | Spontaneous dissection of the superior mesenteric artery (SMA) is rare. We report a case of rupture of the SMA after spontaneous dissection in a 51-year-old male who presented with acute onset of abdominal pain and hypotension. The patient was initially treated with intravenous fluid resuscitation and endovascular intervention followed by open surgery. No identifiable cause for dissection was found. The patient was diagnosed as having segmental arterial mediolysis (SAM). The patients' presentation, treatment, outcome, and all relevant imaging, pathologic, and laboratory studies were reviewed. The relevant features of the case and SAM are presented herein. In addition, a review of all available published literature on SAM to date is presented. |
| doi_str_mv | 10.1016/j.jvs.2010.11.034 |
| format | Article |
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We report a case of rupture of the SMA after spontaneous dissection in a 51-year-old male who presented with acute onset of abdominal pain and hypotension. The patient was initially treated with intravenous fluid resuscitation and endovascular intervention followed by open surgery. No identifiable cause for dissection was found. The patient was diagnosed as having segmental arterial mediolysis (SAM). The patients' presentation, treatment, outcome, and all relevant imaging, pathologic, and laboratory studies were reviewed. The relevant features of the case and SAM are presented herein. In addition, a review of all available published literature on SAM to date is presented.</description><identifier>ISSN: 0741-5214</identifier><identifier>EISSN: 1097-6809</identifier><identifier>DOI: 10.1016/j.jvs.2010.11.034</identifier><identifier>PMID: 21276678</identifier><identifier>CODEN: JVSUES</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Abdominal Pain - etiology ; Aneurysm, Dissecting - diagnostic imaging ; Aneurysm, Dissecting - etiology ; Aneurysm, Dissecting - therapy ; Aneurysm, Ruptured - diagnostic imaging ; Aneurysm, Ruptured - etiology ; Aneurysm, Ruptured - therapy ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Diseases of the aorta ; Endovascular Procedures ; Humans ; Hypotension - etiology ; Ligation ; Male ; Medical sciences ; Mesenteric Artery, Superior - diagnostic imaging ; Mesenteric Artery, Superior - surgery ; Middle Aged ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Tomography, X-Ray Computed ; Treatment Outcome ; Vascular Diseases - complications ; Vascular Diseases - diagnostic imaging ; Vascular Diseases - therapy ; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels ; Vascular Surgical Procedures</subject><ispartof>Journal of vascular surgery, 2011-04, Vol.53 (4), p.1107-1112</ispartof><rights>The Society for Vascular Surgery</rights><rights>2011 The Society for Vascular Surgery</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 The Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c480t-9ff9c57a6dfb2cc6b5ea8dc354cac098242cc188814ec35f8aeca4476c3b3d1f3</citedby><cites>FETCH-LOGICAL-c480t-9ff9c57a6dfb2cc6b5ea8dc354cac098242cc188814ec35f8aeca4476c3b3d1f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0741521410026169$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24043538$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21276678$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tameo, Michael N., MD</creatorcontrib><creatorcontrib>Dougherty, Matthew J., MD</creatorcontrib><creatorcontrib>Calligaro, Keith D., MD</creatorcontrib><title>Spontaneous dissection with rupture of the superior mesenteric artery from segmental arterial mediolysis</title><title>Journal of vascular surgery</title><addtitle>J Vasc Surg</addtitle><description>Spontaneous dissection of the superior mesenteric artery (SMA) is rare. We report a case of rupture of the SMA after spontaneous dissection in a 51-year-old male who presented with acute onset of abdominal pain and hypotension. The patient was initially treated with intravenous fluid resuscitation and endovascular intervention followed by open surgery. No identifiable cause for dissection was found. The patient was diagnosed as having segmental arterial mediolysis (SAM). The patients' presentation, treatment, outcome, and all relevant imaging, pathologic, and laboratory studies were reviewed. The relevant features of the case and SAM are presented herein. In addition, a review of all available published literature on SAM to date is presented.</description><subject>Abdominal Pain - etiology</subject><subject>Aneurysm, Dissecting - diagnostic imaging</subject><subject>Aneurysm, Dissecting - etiology</subject><subject>Aneurysm, Dissecting - therapy</subject><subject>Aneurysm, Ruptured - diagnostic imaging</subject><subject>Aneurysm, Ruptured - etiology</subject><subject>Aneurysm, Ruptured - therapy</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Diseases of the aorta</subject><subject>Endovascular Procedures</subject><subject>Humans</subject><subject>Hypotension - etiology</subject><subject>Ligation</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mesenteric Artery, Superior - diagnostic imaging</subject><subject>Mesenteric Artery, Superior - surgery</subject><subject>Middle Aged</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Vascular Diseases - complications</subject><subject>Vascular Diseases - diagnostic imaging</subject><subject>Vascular Diseases - therapy</subject><subject>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</subject><subject>Vascular Surgical Procedures</subject><issn>0741-5214</issn><issn>1097-6809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kkGL1TAQx4Mo7tvVD-BFchFPfWbaNE0RhGXRVVjwsHoOeenUl9o2NdOuvG9vSp8KHjzN5M9_JplfhrEXIPYgQL3p9t0D7XOxnmEvCvmI7UDUVaa0qB-znagkZGUO8oJdEnVCAJS6esoucsgrpSq9Y8f7KYyzHTEsxBtPhG72YeQ__XzkcZnmJSIPLZ-PyGmZMPoQ-YCE45xyx21M8cTbGAZO-G1Iuu031adkwMaH_kSenrEnre0Jn5_jFfv64f2Xm4_Z3efbTzfXd5mTWsxZ3ba1KyurmvaQO6cOJVrduKKUzjpR61wmFbTWIDGprbborJSVcsWhaKAtrtjrre8Uw48FaTaDJ4d9v81odFmLUmtVJCdsThcDUcTWTNEPNp4MCLPyNZ1JfM3K1wCYxDfVvDx3Xw5ptj8Vv4Emw6uzwZKzfRvt6Dz99Ukhi7JYfW83HyYWDx6jIedxdIlXTF9gmuD_-4x3_1S73o8-XfgdT0hdWOKYIBswlBth7tdFWPcAhMgVqLr4BWsTsJo</recordid><startdate>20110401</startdate><enddate>20110401</enddate><creator>Tameo, Michael N., MD</creator><creator>Dougherty, Matthew J., MD</creator><creator>Calligaro, Keith D., MD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110401</creationdate><title>Spontaneous dissection with rupture of the superior mesenteric artery from segmental arterial mediolysis</title><author>Tameo, Michael N., MD ; Dougherty, Matthew J., MD ; Calligaro, Keith D., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c480t-9ff9c57a6dfb2cc6b5ea8dc354cac098242cc188814ec35f8aeca4476c3b3d1f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Abdominal Pain - etiology</topic><topic>Aneurysm, Dissecting - diagnostic imaging</topic><topic>Aneurysm, Dissecting - etiology</topic><topic>Aneurysm, Dissecting - therapy</topic><topic>Aneurysm, Ruptured - diagnostic imaging</topic><topic>Aneurysm, Ruptured - etiology</topic><topic>Aneurysm, Ruptured - therapy</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Diseases of the aorta</topic><topic>Endovascular Procedures</topic><topic>Humans</topic><topic>Hypotension - etiology</topic><topic>Ligation</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mesenteric Artery, Superior - diagnostic imaging</topic><topic>Mesenteric Artery, Superior - surgery</topic><topic>Middle Aged</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Vascular Diseases - complications</topic><topic>Vascular Diseases - diagnostic imaging</topic><topic>Vascular Diseases - therapy</topic><topic>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</topic><topic>Vascular Surgical Procedures</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tameo, Michael N., MD</creatorcontrib><creatorcontrib>Dougherty, Matthew J., MD</creatorcontrib><creatorcontrib>Calligaro, Keith D., MD</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tameo, Michael N., MD</au><au>Dougherty, Matthew J., MD</au><au>Calligaro, Keith D., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spontaneous dissection with rupture of the superior mesenteric artery from segmental arterial mediolysis</atitle><jtitle>Journal of vascular surgery</jtitle><addtitle>J Vasc Surg</addtitle><date>2011-04-01</date><risdate>2011</risdate><volume>53</volume><issue>4</issue><spage>1107</spage><epage>1112</epage><pages>1107-1112</pages><issn>0741-5214</issn><eissn>1097-6809</eissn><coden>JVSUES</coden><abstract>Spontaneous dissection of the superior mesenteric artery (SMA) is rare. We report a case of rupture of the SMA after spontaneous dissection in a 51-year-old male who presented with acute onset of abdominal pain and hypotension. The patient was initially treated with intravenous fluid resuscitation and endovascular intervention followed by open surgery. No identifiable cause for dissection was found. The patient was diagnosed as having segmental arterial mediolysis (SAM). The patients' presentation, treatment, outcome, and all relevant imaging, pathologic, and laboratory studies were reviewed. The relevant features of the case and SAM are presented herein. In addition, a review of all available published literature on SAM to date is presented.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>21276678</pmid><doi>10.1016/j.jvs.2010.11.034</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Abdominal Pain - etiology Aneurysm, Dissecting - diagnostic imaging Aneurysm, Dissecting - etiology Aneurysm, Dissecting - therapy Aneurysm, Ruptured - diagnostic imaging Aneurysm, Ruptured - etiology Aneurysm, Ruptured - therapy Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Diseases of the aorta Endovascular Procedures Humans Hypotension - etiology Ligation Male Medical sciences Mesenteric Artery, Superior - diagnostic imaging Mesenteric Artery, Superior - surgery Middle Aged Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tomography, X-Ray Computed Treatment Outcome Vascular Diseases - complications Vascular Diseases - diagnostic imaging Vascular Diseases - therapy Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels Vascular Surgical Procedures |
| title | Spontaneous dissection with rupture of the superior mesenteric artery from segmental arterial mediolysis |
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