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On-line Access: 2022-12-15

Received: 2022-05-20

Revision Accepted: 2022-08-30

Crosschecked: 2022-12-15

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Citations:  Bibtex RefMan EndNote GB/T7714


Yuan-qiang Lu


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Journal of Zhejiang University SCIENCE B 2022 Vol.23 No.12 P.1065-1068


Isolated superior mesenteric artery rupture caused by abdominal trauma

Author(s):  Ping WANG, Congying SONG, Yuanqiang LU

Affiliation(s):  Department of Emergency Medicine, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China; more

Corresponding email(s):   luyuanqiang@zju.edu.cn

Key Words:  Blunt abdominal mesenteric injury, Superior mesenteric artery injury, Super-selective embolization

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Ping WANG, Congying SONG, Yuanqiang LU. Isolated superior mesenteric artery rupture caused by abdominal trauma[J]. Journal of Zhejiang University Science B, 2022, 23(12): 1065-1068.

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T1 - Isolated superior mesenteric artery rupture caused by abdominal trauma
A1 - Ping WANG
A1 - Congying SONG
A1 - Yuanqiang LU
J0 - Journal of Zhejiang University Science B
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DOI - 10.1631/jzus.B2200288

The superior mesenteric artery (SMA) is one of the visceral branches of the abdominal aorta. It has multiple branches to supply blood and nutrition to the intestinal segment, and these form an anastomosis with each other. SMA injuries are usually classified as major visceral artery injuries, and have an incidence of <1%. The clinical manifestations of patients with SMA injuries include intra-abdominal bleeding and peritoneal irritation. The compromised blood supply can lead to intestinal ischemia and perforation. These injuries are often not diagnosed in time and have significant mortality rates of 25%‍–‍68% due to the lack of specific features (Maithel et al., 2020). Not only that, but patients with less severe trauma or no visible damage on initial examination may still have clinically significant intra-abdominal injuries (Nishijima et al., 2012). Emergency departments often encounter multiple cases that require urgent diagnosis and treatment (Li et al., 2021; Zhang et al., 2021; Zhou et al., 2021), and therefore, it is imperative to diagnose and manage these rare injuries expeditiously.




Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article


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