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  • Title: [Persistent abdominal pain caused by superior mesenteric artery and celiac trunk dissection that does not respond to conservative treatment].
    Author: Talledo Ó, Torres L, Valenzuela H, Calle A, Mena MA, De La Peña Ó, Lizarzaburu D.
    Journal: Rev Gastroenterol Peru; 2017; 37(3):262-266. PubMed ID: 29093592.
    Abstract:
    We report the case of a 32 year old male with recurrent colic abdominal pain due to superior mesenteric artery (SMA) and celiac trunk dissection, which resolved after placing 3 stents in SMA. The patient presented atypical clinical signs and symptoms, which made the diagnosis difficult. Clinical presentation, diagnostic methods and treatment options are discussed. We started with conservative management with pain medication, anticoagulation, antihypertensive drugs and image control, but on the seventh day, after restarting oral ingestion, he presented with abdominal angina, after which we proceeded to endovascular treatment with successful results and with an uneventfully 2 year follow up.
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