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CASE 328: DISSECTING SUPERIOR MESENTERIC ARTERY, Dr LÊ VĂN TÀI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

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Male patient  50yo, old patient of Medic Center with history HTA and prolonged epigastric pain , HP infected.

Epigastric pain was getting worse for one month, he was admitted by province hospital for 10 days and had been treated as gastritis, but continued gastric pain out of hospital for 20 days. So coming back to Medic Center.






Ultrasound at Medic Center revealed dissecting SMA at its origin, d=12mm, raising diameter and flapping moving inside in TM mode, aliasing in color mode,  and confirmed it later by MSCT.




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