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Superior mesenteric artery dissection
  1. Taro Shimizu1,
  2. Yasuharu Tokuda2
  1. 1Emory University, Atlanta, Georgia, USA
  2. 2Department of General Internal Medicine, Tsukuba University, Mito, Ibaraki, Japan
  1. Correspondence to Dr Taro Shimizu, shimizutaro7{at}

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A 61-year-old man presented with a 2-day history of epigastralgia and back pain without nausea, vomiting, haematemesis or melena. He reported that he had untreated hypertension. On examination, his upper extremity blood pressures were 180/100 (right arm) and 177/98 mm Hg (left arm). His abdomen was soft and flat, but …

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