以腹痛为首发表现的急性孤立性肠系膜上动脉夹层并动脉瘤1例报道

Acute isolated superior mesenteric artery dissection combined with aneurysm of abdominal pain as the first manifestation: one case report

孤立性肠系膜上动脉夹层(isolated superior mesenteric artery dissection,ISMAD)并动脉瘤临床少见,常以急性腹痛为主要症状,接诊医师对无明确原因的持续性腹痛应提高警惕,拓宽诊断思路,分析腹痛程度与诊断是否相符,借助相关医技检查,提高ISMAD的诊断率。现结合延安大学附属医院2017年收治的1例急性ISMAD并动脉瘤误诊为消化系统疾病的临床资料进行回顾性分析并文献复习。

Isolated superior mesenteric artery dissection（ISMAD） combined with aneurysm is rare in clinic,often with acute abdominal pain as the main symptom. Persistent abdominal pain without clear reason should be vigilant,the diagnosis should be vigilant,too. We should improve the diagnostic rate of ISMAD by related medical examination. The clinical data of 1 case of acute ISMAD misdiagnosed as digestive system disease in Yan＇an University Affiliated Hospital in 2017 were reviewed and analyzed retrospectively.