علاج تسلخ الشريان المساريقي العلوي المعزول التلقائي في المرضى المستقرين ديناميكيًا بدون نقص تروية المساريقا

DOI: 10.4070/kcj.2018.0429

An increasing number of patients with SMA dissection who are hemodynamically stable are treated conservatively.

These patients were hemodynamically stable and had no clinical or imaging evidence of ruptured SMA dissection.

Along with anticoagulation therapy (heparin drip or warfarin), conservative management includes antiplatelets like cilostazol and ticlopidine, bowel rest and control of risk factors like hypertension.

It is recommended to have complete bowel rest and administer intravenous heparin until the abdominal pain settles.

Oral anticoagulants and antiplatelet medications are continued until resolution of radiological images.