A Case Report: Spontaneous Rupture of Dissecting Aneurysm of the Middle Colic Artery
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概要
- 論文の詳細を見る
Aneurysms of the superior mesenteric artery branches are rarely reported, even among them colic artery aneurysms are seldom. We report a case of 78-year-old male with ruptured dissecting aneurysm of middle colic artery. The patient complained abdominal pain and nausea during hospital stay for renal stone. The patient suddenly developed severe abdominal pain, leading to shock. He underwent emergency surgery under a preoperative diagnosis of intraperitoneal hemorrhage. At exploratory laparotomy, a large hematoma involving the mesentery root of the transverse colon was associated with a ruptured aneurysm measuring 15×10mm in size, which was located to the mid-portion of middle colic artery. Right-hemicolectomy was carried out because of ischemic changes in the ascending colon. Histological examination demonstrated a ruptured dissecting aneurysm of the middle colic artery approximately 5cm in length, associated with destruction of the tunica interna and media. The aneurysm was thought to result from idiopathic segmental arterial mediolysis, because no definitive evidence of atherosclerosis or arteritis was observed.
- 東海大学の論文
著者
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Kijima Hiroshi
Department of Pathology, Hirosaki University School of Medicine
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Kawabe Mayumi
Dims Institute Of Medical Science
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SHIBUYA Makoto
Department of Pathology, Tokai University Hachioji Hospital
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MAKUUCHI HIROYASU
Department of Cardiovascular Surgery, Tokai University Hospital
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Yasuda S
Himedic Imaging Center At Lake Yamanaka
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Yasuda Seiei
東海大学 医学部外科学
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Yasuda Seiei
Department Of Surgery Tokai University School Of Medicine
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Kijima Hiroshi
東海大学 医学部内科学
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Kijima Hiroshi
Department Of Pathology Tokai University School Of Medicine
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Kijima H
Tokai Univ. School Of Medicine Kanagawa Jpn
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Kawada Hiroshi
Department Of Hematology/oncology Tokai University School Of Medicine
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Kijima Hiroshi
Department Of Pathology Tokai University School Of Medecine
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CHINO Osamu
Department of Surgery, Tokai University School of Medicine
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YAMAMOTO Soichiro
Department of Surgery, Tokai University School of Medicine
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KASHIWAGI Hiroyuki
Department of Surgery, Tokai University School of Medicine
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KONDO Yasumasa
Department of Surgery, Tokai University School of Medicine
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Yasuda Seiei
Himedic Imaging Center At Lake Yamanaka Keio University School Of Medicine
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Makuuchi Hiroyasu
Department Of Surgery School Of Medicine Tokai University
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Makuuchi Hiroyasu
Department Of Cardiovascular Surgery Tokai University Hospital
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Hirabayashi Kenichi
Department Of Pathology Tokai University School Of Medicine
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Chino O
Department Of Surgery Tokai University School Of Medicine
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Kondo Yasumasa
Department Of Surgery Tokai University School Of Medicine
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Shibuya Makoto
Department Of Pathology Tokai University School Of Medicine
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Shibuya Makoto
Department Of Pathology School Of Medicine Tokai University
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Makuuchi H
Department Of Surgery School Of Medicine Tokai University
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Yokoyama Seishichi
Department Of Pediatric Surgery Gastrointestinal Surgery And Radiology Tokai University School Of Me
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Kijima Hiroshi
Department Of Hematology/oncology Tokai University School Of Medicine
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Maruyama H
Department Of Surgery Tokai University School Of Medicine
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Yamamoto Soichiro
Department Of Gastroenterology Kure Kyosai Hospital
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Kawada Hiroshi
Research Center For Genetic Engineering And Cell Transplantation
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Yamamoto Sohichirou
Department Of Surgery Tokai University School Of Medicine
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Kashiwagi Hiroyuki
Department Of Surgery Tokai University School Of Medicine
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ASAMOTO Makoto
Department of Surgery, Tokai University School of Medicine
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Kawabe Mayumi
Department of Surgery, Tokai University School of Medicine
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