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- Xicheng Zhang, Dengqiu Zhao, Zhaolei Chen, and Yuan Sun.
- Department of Vascular Surgery, The Clinical Medical School of Yangzhou University, Yangzhou.
- Medicine (Baltimore). 2020 Jun 19; 99 (25): e20580e20580.
IntroductionProtein-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 ConcernsA 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.DiagnosesBased on laboratory tests and capsule endoscopy inspection, a diagnosis of protein-losing enteropathy was made.InterventionsEndovascular treatment was provided.OutcomesAfter stent placement, he quickly recovered without a recurrence of symptoms.ConclusionProtein-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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