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.

Acute Abdominal Pain: Mind the Superior Mesenteric Artery Dissection

2015 ◽  
Vol 49 (5) ◽  
pp. e155-e157 ◽  
Author(s):  
Nicolas de l'Escalopier ◽  
Guillaume Boddaert ◽  
Thomas Erauso ◽  
Emmanuel Hornez
Keyword(s):  
Abdominal Pain ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Acute Abdominal Pain ◽  
Artery Dissection ◽  
Superior Mesenteric Artery Dissection

scholarly journals A rare cause of acute abdominal pain: spontaneous isolated superior mesenteric artery dissection

2018 ◽  
Vol 5 (7) ◽  
pp. 2623 ◽  
Author(s):  
Georgios Th. Galanopoulos ◽  
Theofanis P. Konstantopoulos ◽  
Ioannis A. Christakis ◽  
Petros Α. Antonopoulos ◽  
Vasilios G. Papavassiliou
Keyword(s):  
Abdominal Pain ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Acute Abdominal Pain ◽  
Epigastric Pain ◽  
Acute Onset ◽  
Artery Dissection ◽  
Intestinal Necrosis ◽  
Nosological Entity ◽  
Superior Mesenteric Artery Dissection

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.

scholarly journals A case report of an isolated superior mesenteric artery dissection caused by childbirth

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Qian Feng ◽  
Jingrun Zhao ◽  
Lina Zang ◽  
Yuanyuan Chen ◽  
Senlin Li
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Acute Abdominal Pain ◽  
Antiplatelet Agents ◽  
Liver Function Tests ◽  
Artery Dissection ◽  
Upper Abdominal ◽  
Superior Mesenteric Artery Dissection

Abstract Background The isolated superior mesenteric artery dissection (SMAD) is a rare and sporadic cause of acute abdominal pain. It most frequently affects male patients in their fifth to sixth decades, while our patient was a young woman who delivered a baby before the onset of abdominal pain. Possible risk factors for SMAD include hypertension, arteriosclerosis, abnormalities in elastic fibres, trauma, and pregnancy. In our case, delivery was suggested as a risk factor, which has not been reported previously. Case presentation A 27-year-old woman complained of acute severe upper abdominal pain and vomiting for 2 days after delivery. The patient had no significant medical history. Physical examination revealed epigastric mild tenderness. All routine blood tests, blood coagulation analysis, liver function tests and abdomen computed tomography showed no remarkable findings. Computed tomography angiography revealed a marked dissection 3.5 cm below the superior mesenteric artery ostium. Since distal blood flow existed and the patient was in a puerperal state with no evidences of mesenteric ischemia, she was managed conservatively, including intestinal rest by fasting, parenteral nutritional support and antibioticis, without anticoagulants or antiplatelet agents. Fortunately, she recovered smoothly and had no recurrence. Conclusions SMAD is a rare and sporadic cause of acute abdominal pain that occurs in young women after delivery.

scholarly journals New technique for false lumen coiling of spontaneous isolated superior mesenteric artery dissection

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Hidenori Yamaguchi ◽  
Satoru Murata ◽  
Tatsuo Ueda ◽  
Takahiko Mine ◽  
Shiro Onozawa ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
False Lumen ◽  
Endovascular Intervention ◽  
Visceral Artery ◽  
Artery Dissection ◽  
Persistent Symptoms ◽  
Catheter Technique ◽  
Superior Mesenteric Artery Dissection

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.

scholarly journals Abdominal pain at complicated spontaneous superior mesenteric artery dissection

Angiología ◽  
2021 ◽  
Author(s):  
Inés Cañas García ◽  
Julio Santoyo Villalba ◽  
Rafael Ros Vidal ◽  
Benito Mirón Pozo ◽  
Luis Miguel Salmerón Febres
Keyword(s):  
Abdominal Pain ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Artery Dissection ◽  
Superior Mesenteric Artery Dissection

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 ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Extracorporeal Shockwave Lithotripsy ◽  
Artery Dissection ◽  
Shockwave Lithotripsy ◽  
Extracorporeal Shockwave ◽  
Patient’S History ◽  
Superior Mesenteric Artery Dissection

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.

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.

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