K. Nakamura et al., NATURAL-HISTORY OF A SPONTANEOUS DISSECTING ANEURYSM OF THE PROXIMAL SUPERIOR MESENTERIC-ARTERY - REPORT OF A CASE, SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY, 27(3), 1997, pp. 272-274
We report herein the case of a 44-year-old man in whom an asymptomatic
dissecting aneurysm was found in the proximal part of the superior me
senteric artery (SMA) during a preoperative evaluation for colon cance
r. The patient was managed conservatively with blood pressure control
during the perioperative period of the colon resection as the false lu
men of the dissecting aneurysm was revealed to be completely occluded
by thrombus, The thrombus in the false lumen continued to be absorbed
until 1 month after surgery. The patient is currently well 4 years aft
er his operation without any evidence of recurrence of the aneurysm.