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Published on: April 8, 2021
Protein-losing enteropathy as a complication of spontaneous isolated superior mesenteric artery dissection: A case
Xicheng Zhang1,2, Dengqiu Zhao3, Zhaolei Chen1
1Department of Vascular Surgery, The Clinical Medical School of Yangzhou University, Yangzhou.
Introduction:
Protein-losing enteropathy and spontaneous isolated superior mesenteric artery dissection are both rare clinically. Protein-losing enteropathy due to superior mesenteric artery dissection is extremely rare.
Patient Concerns:
A 46-year-old male with acute abdominal pain and hematochezia was diagnosed with a complete occlusion of the superior mesenteric artery because of dissection. He suffered from diarrhea and hypoproteinemia after an emergency thromboendarterectomy.
Diagnoses:
Based on laboratory tests and capsule endoscopy inspection, a diagnosis of protein-losing enteropathy was made.
Interventions:
Endovascular treatment was provided.
Outcomes:
After stent placement, he quickly recovered without a recurrence of symptoms.
Conclusion:
Protein-losing enteropathy is a serious complication of an isolated superior mesenteric artery dissection. Restoring the patency of the superior mesenteric artery is keyed for the treatment of this complication.
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