scholarly journals Superior Mesenteric Artery Dissection after Extracorporeal Shockwave Lithotripsy

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Christos Bakoyiannis ◽  
Ioannis Anastasiou ◽  
Andreas Koutsoumpelis ◽  
Evangelos Fragiadis ◽  
Eleni Felesaki ◽  
...  

The use of shockwave lithotripsy is currently the mainstay of treatment in renal calculosis. Several complications including vessel injuries have been implied to extracorporeal shockwave lithotripsy. We report an isolated dissection of the superior mesenteric artery in a 60-year-old male presenting with abdominal pain which occurred three days after extracorporeal shockwave lithotripsy. The patient was treated conservatively and the abdominal pain subsided 24 hours later. The patient's history, the course of his disease, and the timing may suggest a correlation between the dissection and the ESWL.

2015 ◽  
Vol 49 (5) ◽  
pp. e155-e157 ◽  
Author(s):  
Nicolas de l'Escalopier ◽  
Guillaume Boddaert ◽  
Thomas Erauso ◽  
Emmanuel Hornez

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Hidenori Yamaguchi ◽  
Satoru Murata ◽  
Tatsuo Ueda ◽  
Takahiko Mine ◽  
Shiro Onozawa ◽  
...  

Abstract Background Spontaneous isolated visceral artery dissection is rarely encountered. Endovascular intervention with good outcomes has become popular for patients with persistent symptoms or developing ischemia. We could perform life-saving treatment for a spontaneous isolated superior mesenteric artery dissection with a unique endovascular intervention. Case presentation We describe the case of an 80-year-old man who presented with acute abdominal pain and a spontaneous isolated superior mesenteric artery dissection measuring 35 mm in major diameter and 6.6 mm in minor diameter on abdominal contrast-enhanced computed tomography. After admission, abdominal pain was progressive, and a repeated scan revealed progression of the dissection. As an endovascular intervention, via the bilateral femoral approach, detachable coils were placed in the false lumen of the superior mesenteric artery dissection through the false lumen under the micro-balloon occlusion at the point of re-entry and entry through the true lumen to prevent coil migration. Technical and clinical success was achieved without serious adverse events. Conclusion Coil embolization using micro-balloon assistance combined with the double-catheter technique for a large entry and re-entry false lumen of a spontaneous isolated superior mesenteric artery dissection was useful and feasible.


Angiología ◽  
2021 ◽  
Author(s):  
Inés Cañas García ◽  
Julio Santoyo Villalba ◽  
Rafael Ros Vidal ◽  
Benito Mirón Pozo ◽  
Luis Miguel Salmerón Febres

2016 ◽  
Vol 90 (1) ◽  
pp. 107-112
Author(s):  
Mihaela Mocan ◽  
Ionuț Isaia Jeican ◽  
Mihai Moale ◽  
Romeo Chira

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.


2018 ◽  
Vol 5 (7) ◽  
pp. 2623 ◽  
Author(s):  
Georgios Th. Galanopoulos ◽  
Theofanis P. Konstantopoulos ◽  
Ioannis A. Christakis ◽  
Petros Α. Antonopoulos ◽  
Vasilios G. Papavassiliou

Spontaneous isolated superior mesenteric artery dissection is an extremely rare nosological entity, usually occurring with acute abdominal pain. Authors present the case of a 56 - year - old female with spontaneous isolated SMA dissection who was admitted to the hospital with epigastric pain of acute onset. The patient was successfully managed nonoperatively, with anticoagulation starting immediately after diagnosis. Patient symptoms resolved after a few days. There is a discrepancy concerning the treatment of isolated SMA dissection.  Generally, if there is no intestinal necrosis or SMA rupture, conservative treatment is safe and effective as an initial approach.


2011 ◽  
Vol 22 (11) ◽  
pp. 864-869
Author(s):  
Yosuke Minami ◽  
Masahiro Sugano ◽  
Shinji Uegaki ◽  
Nobuhiko Kubota ◽  
Mineji Hayakawa ◽  
...  

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