PDF(Pubmed)
Abstract：
A 59-year-old male was transported to the emergency department by ambulance with complaints of left-sided abdominal pain. Blood gas analysis revealed elevated lactate, and plain computed tomography revealed no bowel ischemic change. Contrast-enhanced computed tomography revealed isolated superior mesenteric artery dissection with mildly stenosed true lumen. The patient was treated with conservative management on admission. Staged fluid intake, oral prescriptions, and diet were commenced with attention to the symptoms. After four days of hospitalization, the patient was discharged with a stable condition. However, the patient returned to our hospital complaining of left lower back pain three hours after discharge. Contrast-enhanced computed tomography revealed an enlarged false lumen with a moderately stenosed true lumen. After a thorough discussion between vascular surgeons and interventional radiologists, conservative management was commenced on the second admission. The clinical course was uneventful, with proof of improved imaging findings.
摘要：
一名59岁的男性被救护车送往急诊室，抱怨左侧腹痛。血气分析显示乳酸升高,和普通计算机断层扫描显示没有肠缺血改变。对比增强计算机断层扫描显示孤立的肠系膜上动脉夹层，有轻度狭窄的真腔。患者入院时接受保守治疗。分级进液,口服处方,开始饮食时注意症状。住院四天后，病人病情稳定出院。然而,病人出院三小时后返回我们医院，抱怨左下背部疼痛。对比增强计算机断层扫描显示假腔扩大，真腔中度狭窄。在血管外科医生和介入放射科医师之间进行了彻底的讨论之后，保守管理在第二次入场时开始。临床过程平稳，并证明了成像结果的改善。
