scholarly journals Isolated Superior Mesenteric Artery Dissection with Small Intestine Ischemia

2015 ◽  
Vol 9 (3) ◽  
pp. 341-346 ◽  
Author(s):  
Masahito Aimi ◽  
Chika Amano ◽  
Rika Yoshida ◽  
Takeshi Matsubara ◽  
Hironobu Mikami ◽  
...  
Keyword(s):  
Small Intestine ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Rare Condition ◽  
Artery Dissection ◽  
Rare Occurrence ◽  
Abdominal Symptoms ◽  
Enhanced Ct ◽  
Ultrasound Findings ◽  
Superior Mesenteric Artery Dissection

Superior mesenteric artery (SMA) dissection without aortic dissection is a rare condition, and its diagnosis is considered to be difficult. Intestinal infarction is a severe complication of the disease, which may require resection of the intestine. We present a case of isolated SMA dissection. A 53-year-old man experienced sudden pain in the abdomen while playing Japanese pinball and was admitted to our hospital due to acute abdominal symptoms of uncertain cause. Enhanced CT revealed a defect of the root of the SMA, while angiography and intravascular ultrasound findings showed dissection of the SMA wall. Conservative treatment was chosen at the time, while a part of the small intestine was eventually resected because of progressive ischemia. Although SMA dissection is a rare occurrence in cases with acute abdominal symptoms, awareness of the condition is important for differential diagnosis.

scholarly journals TRANSIENT ISCHEMIC JEJUNITIS DUE TO SYMPTOMATIC ISOLATED SUPERIOR MESENTERIC ARTERY DISSECTION: CASE REPORT AND REVIEW OF LITERATURE

2016 ◽  
Vol 90 (1) ◽  
pp. 107-112
Author(s):  
Mihaela Mocan ◽  
Ionuț Isaia Jeican ◽  
Mihai Moale ◽  
Romeo Chira
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Acute Abdominal Pain ◽  
Rare Condition ◽  
Artery Dissection ◽  
Review Of Literature ◽  
Surgical Department ◽  
Superior Mesenteric Artery Dissection

Acute abdominal pain is one of the most common conditions encountered in the emergency department. The differential diagnosis of acute abdominal pain is extensive and identifying the underlying etiology can be challenging. We report a case of acute transient ischemic jejunitis due to symptomatic isolated superior mesenteric artery dissection in a patient with no cardiovascular risk factors or autoimmune diseases. Symptomatic isolated superior mesenteric artery dissection is a rare cause of acute abdominal pain usually treated in the surgical department. The patient had criteria for conservative treatment and rapidly recovered. We highlight a rare condition which should be taken into account for the differential diagnosis of acute abdominal pain.

scholarly journals Superior mesenteric artery dissection with prolonged abdominal angina treated by laparotomy, endarterectomy, patch angioplasty, and retrograde open mesenteric stenting: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Shinichi Tanaka ◽  
Atsushi Fukuda ◽  
Eisuke Kawakubo ◽  
Takuya Matsumoto
Keyword(s):  
Case Report ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Artery Dissection ◽  
Surgical Revascularization ◽  
Invasive Treatment ◽  
Case Presentation ◽  
Abdominal Angina ◽  
Patch Angioplasty ◽  
Superior Mesenteric Artery Dissection

Abstract Background Most patients with isolated superior mesenteric artery (SMA) dissection are successfully managed conservatively. However, some patients require more invasive treatment. Case presentation We herein describe a 45-year-old man with isolated SMA dissection. He initially underwent conservative treatment. However, because of persistent abdominal angina, we considered the need for surgical revascularization. He was successfully treated by endarterectomy, patch angioplasty, and retrograde open mesenteric stenting. The abdominal angina was stabilized thereafter. Conclusions The combination of endarterectomy, patch angioplasty, and retrograde open mesenteric stenting is useful for isolated SMA dissection, and long patency can be expected for some patients.

scholarly journals Isolated superior mesenteric artery dissection in China

2016 ◽  
Vol 63 (2) ◽  
pp. 530-536 ◽  
Author(s):  
Jing Yuan Luan ◽  
Xin Guan ◽  
Xuan Li ◽  
Chang Ming Wang ◽  
Tian Run Li ◽  
...  
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Artery Dissection ◽  
Superior Mesenteric Artery Dissection
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