FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2907800369> ?p ?o ?g. }

• W2907800369 endingPage "76" @default.
• W2907800369 startingPage "74" @default.
• W2907800369 abstract "Our case underscores the importance of recognizing MALS not only as a cause of postprandial epigastric pain but a rare facilitating factor in the development of isolated SMA dissection. A 55-year-old woman was seen with severe epigastric pain three hours after acute onset. Her medical history included longtime hypertension and postprandial epigastralgia over the last 5 years. The patient had often developed epigastralgia for about 2 hours after taking in a large quantity of meal. She reported the present pain was much more severe than those she had ever experienced. She denied any loss of her body weight. She had neither diabetes nor dyslipidemia. She had been placed on antihypertensive medication (20 mg olmesartan and 5 mg amlodipine) and proton pump inhibitor (15 mg lansoprazole). She appeared ill, and her blood pressure was 154/94 mmHg. Her body mass index was calculated as 23 kg/m2. Abdominal examination revealed tenderness over the epigastric area. There were no other abnormal findings like rebound tenderness, muscular defense, or Carnett sign; any abnormal bruit was not heard over her abdomen. A plain (Figure 1A) and a contrast-enhanced (Figure 1B) abdominal CT scans demonstrated isolated superior mesenteric artery (SMA) dissection with the thrombosed false lumen; stenosis caused by arterial dissection was found about 2 cm from the base of SMA. Signs of bowel ischemia were not present. In addition, contrast-enhanced CT scans depicted celiac axis stenosis by the median arcuate ligament of the diaphragm (Figure 1C,D). Three-dimensional reconstruction of the enhanced CT images explicitly revealed indentation in the celiac axis, “hooked appearance” pathognomonic of median arcuate ligament syndrome (MALS), during expiration (Figure 2A) and its release during inspiration (Figure 2B).1 The results of the abdominal sonographic examination were consistent with the diagnosis of MALS in that the peak systolic velocity of the celiac artery was faster during expiration (233 cm/s) than during inspiration (175 cm/s). Upper gastrointestinal endoscopy revealed no abnormal findings. Following admission, the patient was successfully treated with fasting and parenteral administration of nitroglycerin with the resultant blood pressure less than 120/60 mmHg. Her abdominal pain subsided by the next day. Subsequently, nitroglycerin treatment could be replaced with oral antihypertensive medication with 40 mg azilsartan, 40 mg nifedipine CR, and 2.5 mg carvedilol. She remains fine over 6 months. MALS or celiac artery compression syndrome is generally regarded as a rare disease occurring in 0.4% of the population.2 However, asymptomatic MALS happens to be found incidentally in 2.4%-8% of the people on examination.2 This syndrome is induced by the overgrowth of the inferiorly placed median arcuate ligament of the diaphragm, leading to celiac artery compression during the expiration phase. Common symptoms include postprandial epigastric pain, nausea/vomiting, and mild weight loss.2 The following three requirements need to be met to diagnose MALS: (a) occurrence of characteristic symptoms; (b) exclusion of other causes of the symptoms; and (c) confirmation of celiac axis stenosis without atherosclerosis through additional examination.3 Our case fulfilled all the above criteria. In MALS, aneurysms are reportedly formed in the pancreaticoduodenal artery region.4 Celiac axis stenosis represents an attributable etiology for those aneurysms; the increased blood flow through the SMA to the pancreaticoduodenal arcade can lead to the aneurysmal formation.4 Likewise, in this hypertensive patient possibly with underlying arteriosclerosis, increased blood flow into the SMA as a collateral pathway may have led to the dissection.4 Because of the absence of surgical indications including ischemic intestinal symptoms, aneurysm rupture, and true luminal narrowing, we employed conservative treatment with success over half a year. In conclusion, we reported on a case of a 55-year-old woman who was diagnosed as isolated SMA dissection associated with MALS. This combination of illnesses was documented only in two patients.4, 5 Our case underscores the importance of recognizing MALS not only as a cause of postprandial epigastric pain but a rare facilitating factor in the development of isolated SMA dissection. The authors have stated explicitly that there are no conflicts of interest in connection with this article" @default.
• W2907800369 created "2019-01-11" @default.
• W2907800369 creator A5013805590 @default.
• W2907800369 creator A5023602239 @default.
• W2907800369 creator A5061148658 @default.
• W2907800369 creator A5074617380 @default.
• W2907800369 date "2019-01-03" @default.
• W2907800369 modified "2023-10-16" @default.
• W2907800369 title "Isolated superior mesenteric artery dissection and median arcuate ligament syndrome" @default.
• W2907800369 cites W2013742507 @default.
• W2907800369 cites W2104064897 @default.
• W2907800369 cites W2152925113 @default.
• W2907800369 cites W2325286537 @default.
• W2907800369 cites W2586430804 @default.
• W2907800369 cites W2907800369 @default.
• W2907800369 doi "https://doi.org/10.1002/jgf2.232" @default.
• W2907800369 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6399590" @default.
• W2907800369 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30873310" @default.
• W2907800369 hasPublicationYear "2019" @default.
• W2907800369 type Work @default.
• W2907800369 sameAs 2907800369 @default.
• W2907800369 citedByCount "5" @default.
• W2907800369 countsByYear W29078003692019 @default.
• W2907800369 countsByYear W29078003692022 @default.
• W2907800369 countsByYear W29078003692023 @default.
• W2907800369 crossrefType "journal-article" @default.
• W2907800369 hasAuthorship W2907800369A5013805590 @default.
• W2907800369 hasAuthorship W2907800369A5023602239 @default.
• W2907800369 hasAuthorship W2907800369A5061148658 @default.
• W2907800369 hasAuthorship W2907800369A5074617380 @default.
• W2907800369 hasBestOaLocation W29078003691 @default.
• W2907800369 hasConcept C126838900 @default.
• W2907800369 hasConcept C141071460 @default.
• W2907800369 hasConcept C2776820930 @default.
• W2907800369 hasConcept C2776926547 @default.
• W2907800369 hasConcept C2779983558 @default.
• W2907800369 hasConcept C2780852908 @default.
• W2907800369 hasConcept C2780955771 @default.
• W2907800369 hasConcept C2781046184 @default.
• W2907800369 hasConcept C2991960855 @default.
• W2907800369 hasConcept C71924100 @default.
• W2907800369 hasConceptScore W2907800369C126838900 @default.
• W2907800369 hasConceptScore W2907800369C141071460 @default.
• W2907800369 hasConceptScore W2907800369C2776820930 @default.
• W2907800369 hasConceptScore W2907800369C2776926547 @default.
• W2907800369 hasConceptScore W2907800369C2779983558 @default.
• W2907800369 hasConceptScore W2907800369C2780852908 @default.
• W2907800369 hasConceptScore W2907800369C2780955771 @default.
• W2907800369 hasConceptScore W2907800369C2781046184 @default.
• W2907800369 hasConceptScore W2907800369C2991960855 @default.
• W2907800369 hasConceptScore W2907800369C71924100 @default.
• W2907800369 hasIssue "2" @default.
• W2907800369 hasLocation W29078003691 @default.
• W2907800369 hasLocation W29078003692 @default.
• W2907800369 hasLocation W29078003693 @default.
• W2907800369 hasLocation W29078003694 @default.
• W2907800369 hasOpenAccess W2907800369 @default.
• W2907800369 hasPrimaryLocation W29078003691 @default.
• W2907800369 hasRelatedWork W1779611899 @default.
• W2907800369 hasRelatedWork W2013742507 @default.
• W2907800369 hasRelatedWork W2018774572 @default.
• W2907800369 hasRelatedWork W2058479719 @default.
• W2907800369 hasRelatedWork W2117402779 @default.
• W2907800369 hasRelatedWork W2165784503 @default.
• W2907800369 hasRelatedWork W2518872917 @default.
• W2907800369 hasRelatedWork W2997923773 @default.
• W2907800369 hasRelatedWork W3130623292 @default.
• W2907800369 hasRelatedWork W4387082300 @default.
• W2907800369 hasVolume "20" @default.
• W2907800369 isParatext "false" @default.
• W2907800369 isRetracted "false" @default.
• W2907800369 magId "2907800369" @default.
• W2907800369 workType "article" @default.