Spontaneous Celiac and Splenic Artery Dissection

アクセス数 : 972
ダウンロード数 : 164

今月のアクセス数 : 4
今月のダウンロード数 : 1
ファイル情報(添付)
HiroshimaJMedSci_66_21.pdf 854 KB 種類 : 全文
タイトル ( eng )
Spontaneous Celiac and Splenic Artery Dissection
作成者
Zenda Takahiro
Araki Ichiro
Hamano Naomichi
Nishida Hiroto
Ikeda Masatoshi
Bunko Hisashi
Aoki Tetsuya
収録物名
Hiroshima Journal of Medical Sciences
66
1
開始ページ 21
終了ページ 25
収録物識別子
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
抄録
Dissection o f t he splanchnic artery u nrelated to an aortic lesion is extremely rare. We describe a patient with dissection of the celiac and splenic arteries causing splenic circulatory impairment. A 55-year-old Japanese man was referred to our hospital for left back pain that suddenly occurred 3 days previously and spread to the left flank. He had complicated sleep apnea syndrome well controlled with continuous positive airway pressure, and had been prophylactically taking aspirin (100 mg/day) because of asymptomatic cerebral lacunar infarcts. Contrast-enhanced computed tomography (CT) in the arterial phase revealed dissection from the celiac root extending to the entire splenic artery, the caliber of which was irregularly narrowed, causing malperfusion in the spleen. Because of hemodynamic stability and lack of impending sequelae, the patient was carefully observed with rest, strict blood pressure control, and aspirin administration. One month later, CT revealed restoration of the caliber of the dissected arteries and regression of the organizing false lumen, which confirmed the patient’s recovery. Despite the extreme rarity or nonspecific symptoms, splanchnic artery dissection should be considered a potentially life-threatening emergency. This case supports the possible benefit of starting antithrombotic treatment early to prevent thrombotic sequelae such as organ infarction and aneurysmal formation.
著者キーワード
Splenic artery dissection
Contrast-enhanced computed tomography
Antithrombotic therapy
Splenic infarction
NDC分類
医学 [ 490 ]
言語
英語
資源タイプ 紀要論文
出版者
Hiroshima University Medical Press
発行日 2017-03
権利情報
Copyright (c) 2017 Hiroshima University Medical Press
出版タイプ Version of Record(出版社版。早期公開を含む)
アクセス権 オープンアクセス
収録物識別子
[ISSN] 0018-2052
[ISSN] 2433-7668
[NCID] AA00664312
[DOI] 10.24811/hjms.66.1_21
[DOI] https://doi.org/10.24811/hjms.66.1_21