Spontaneous Isolated Inferior Mesenteric Artery Dissection With Chronic Mesenteric Ischemia: Case Report and Endovascular Management

Suresh Giragani; Ankit Balani; Viswanath Reddy; Keerthi Talari Bommakanti; Surendar Alwala; Anjani Kumar

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Spontaneous Isolated Inferior Mesenteric Artery Dissection With Chronic Mesenteric Ischemia: Case Report and Endovascular Management

机译：慢性肠系膜缺血的自发孤立的下肠系膜检测：病例报告和血管内管理

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We report the clinical details, imaging findings, and management for a 39-year-old female presenting with recurrent episodes of pain in abdomen due to systemic lupus erythematous vasculitis associated with spontaneous isolated inferior mesenteric dissection. Spontaneous mesenteric artery dissection is an uncommon cause of mesenteric ischemia. Symptomatic spontaneous isolated inferior mesenteric artery (IMA) dissection is a rare condition, and its association with systemic lupus erythematosus is not previously described in the English literature. The optimal treatment options are debatable and include medical management, surgical reconstruction, and endovascular therapy. We wish to highlight spontaneous isolated IMA dissection as a rare etiology for chronic mesenteric ischemia and its management by endovascular methods.

机译：我们报告了一名39岁女性的临床细节，成像结果和管理，由于系统性狼疮性红斑狼疮患有与自发孤立的下肠系膜分离有关的全身狼疮性血管性血管炎。自发性肠系膜动脉解剖是肠系膜缺血的罕见原因。症状自发孤立的下肠系膜（IMA）解剖是一种罕见的病症，其与系统性狼疮红斑的关联未在英语文献中描述。最佳治疗方案是难以讨论的，包括医学管理，手术重建和血管内治疗。我们希望突出自发的孤立的IMA解剖，作为慢性肠系膜缺血的稀有病因及其通过血管内方法的管理。

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来源
《Vascular and endovascular surgery》 |2018年第7期|共4页
作者
Suresh Giragani; Ankit Balani; Viswanath Reddy; Keerthi Talari Bommakanti; Surendar Alwala; Anjani Kumar;
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作者单位

Department of Interventional Radiology Yashoda Hospitals Secunderabad Telangana India;

Department of Interventional Radiology Yashoda Hospitals Secunderabad Telangana India;

Department of Gastroenterology Yashoda Hospitals Secunderabad Telangana India;

Department of Rheumatology Yashoda Hospitals Secunderabad Telangana India;

Department of Radiology Yashoda Hospitals Secunderabad Telangana India;

Department of Radiology Yashoda Hospitals Secunderabad Telangana India;

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原文格式 PDF
正文语种 eng
中图分类心脏血管和淋巴系外科学;
关键词
mesenteric ischemia; inferior mesenteric artery; mesenteric artery dissection; endovascular stenting;

机译：肠系膜缺血;下肠系膜动脉;肠系膜动脉解剖;血管内叉;

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1. Spontaneous Isolated Inferior Mesenteric Artery Dissection With Chronic Mesenteric Ischemia: Case Report and Endovascular Management [J] . Suresh Giragani, Ankit Balani, Viswanath Reddy, Vascular and endovascular surgery . 2018,第7期

机译：慢性肠系膜缺血的自发孤立的下肠系膜检测：病例报告和血管内管理
2. Spontaneous isolated abdominal aortic dissection involving the celiac, superior mesenteric, inferior mesenteric, right renal, left iliac, and right superficial femoral arteries [J] . Zink Jill N., Maness Mandy M., Bogey William M., Journal of vascular surgery . 2015,第6期

机译：自发性孤立性腹主动脉夹层，涉及腹腔，肠系膜上，下肠系膜，右肾，左c骨和右浅股动脉
3. Necessity of revascularization for acute mesenteric ischemia in symptomatic patients with spontaneous isolated dissection of the superior mesenteric artery [J] . Otsuka Hiroyuki, Uehata Atsushi, Sakurai Keiji, Vascular . 2020,第1期

机译：症状患者患者急性肠系膜缺血对症状患者的血型血栓性缺血的必要性
4. Direct Superior Mesenteric Artery fenestration for Type B dissection with visceral ischemia [C] . Saitoh Y., Soeda T., Setozaki S., International Congress on Coronary Artery Disease. . 2013

机译：直接优越的肠系膜动脉衰减为B型解剖患者缺血缺血
5. The Effects of Sumac on Saturated Fat-induced Inflammation in Human Vascular Smooth Muscle Cells and Isolated Mesenteric Arteries from Rats [D] . Barberes, Julia. 2018

机译：Sumac对饱和脂肪诱导的人血管平滑肌细胞和大鼠离体肠系膜动脉炎症的影响
6. Inferior Mesenteric Artery Stenting as a Novel Treatment for Chronic Mesenteric Ischemia in Patients with an Occluded Superior Mesenteric Artery and Celiac Trunk [O] . M. Wohlauer, H. Kobeiter, P. Desgranges, -1

机译：肠系膜下动脉支架置入治疗肠系膜上动脉和腹腔干的慢性肠系膜缺血
7. Reconstruction of the Branch of Superior Mesenteric Artery Using Right Gastroepiploic Artery and Middle Colic Artery for Isolated Acute Superior Mesenteric Artery Dissection with Mesenteric Ischemia [O] . Asato Hashinokuchi, Hideaki Uchiyama, Takashi Motomura, 2020

机译：用右胃长型动脉和中肠动脉重建肠系膜中肠道术中肠道动脉和中肠动脉与肠系膜缺血

Spontaneous Isolated Inferior Mesenteric Artery Dissection With Chronic Mesenteric Ischemia: Case Report and Endovascular Management

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