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Superior mesenteric artery dissection
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  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}gmail.com

http://dx.doi.org/10.1136/bcr-03-2012-6036

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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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