Case 23

 A fifty five-year-old female appeared for back pain and epigastric pain in our hospital. She usually worked in a warehouse from 5 AM. Her job was to divide a lot of mail packs for carriers to deliver to home-receivers. During the work at approximately 6 AM, her symptoms almost suddenly came out. She returned to her home and lied in the morning, but no relief was obtained. She recognized to have been in a state of hypertension. Her blood pressure at admission was 140/80 mmHg. Laboratory test revealed almost no abnormal findings except CRP 1.65 mg/dl (< 0.30), LDH 231 U/L, Total bilirubin 1.72 mg/dl (0.22-1.20), D dimer 2.0 μg/ml (< 1), White blood cells 7840 / mm³. She received CT for further investigation.

What is the imaging diagnosis?

1. Pancreatitis

2. Ureter stone

3. Superior mesenteric arterial embolism

4. Superior mesenteric arterial dissection

5. Median arcuate ligament syndrome

answer

2016.9.14