This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Cardiovascular/ Cardiothoracic Surgery  • Diagnosis  • Cardiovascular Disease/ Myocardial Infarction  • Alert me on articles by topic

James Hamilton Black III, MD

Arch Surg. 2007;142(8):797.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

A 68-year-old man with a history of dyslipidemia and an elevated Lp(a) lipoprotein level developed acute abdominal pain and had tenderness to deep palpation on the right side of his abdomen. A computed tomographic scan demonstrated thickening of the ascending colon consistent with ischemic colitis. Hydration and antibiotic administration rapidly relieved his pain. Subsequent duplex imaging of the superior mesenteric artery revealed poststenotic turbulence and elevated peak velocities were noted. He was referred for angiography (Figure).

Figure appears in full text version. Figure. Diagnostic aortography in a lateral projection revealed 90% to 95% stenosis appreciated at the origin of the celiac axis and the superior mesenteric artery (SMA). The inferior mesenteric artery was occluded. Balloon-expandable 8 x 18-mm stents were deployed in both vessels. The celiac axis stent was dilated to 10 mm to improve a residual stenosis. The patient recovered well and was discharged the next day, tolerating . . . [Full Text of this Article]

What Is the Diagnosis?

Author Affiliation: Department of Surgery, Johns Hopkins University, Baltimore, Maryland.

RELATED ARTICLE

Image of the Month—Diagnosis
Arch Surg. 2007;142(8):798.
EXTRACT | FULL TEXT