13 April 2021>: Articles
Two Cases of Spontaneous Isolated Dissection of Superior Mesenteric Artery in One Night: Report of a (Noninvasive) Double Challenge
Management of emergency careGiuseppe Evola A* , Giuseppe Angelo Reina A , Dario Cavallaro A , Pietro Valerio Foti A , Andrea Giovanni Musumeci E , Stefano Palmucci A , Antonio Basile A
Am J Case Rep 2021; 22:e929538
Figure 1. Case 1 involved a 54-year-old White man with a medical history of hypertension and a 2-day history of diffuse abdominal pain. An abdominal computed tomography (CT) scan showed SID-SMA (red signal) associated with “paper-thin wall” intestinal sign (arrow), dilatation of bowel lumen, and mesenteric fat stranding (A, B) Preprocedural selective angiography showed narrowed lumen of SMA and ileo-colic artery (arrow) with reduced distal perfusion (C). Fluoroscopy shows the deployed stent in SMA and balloon inflation during ileo-colic angioplasty (D). Postprocedural angiogram demonstrates the stent placement in SMA with better patency of the ileo-colic artery (E). SID – spontaneous isolated dissection; SMA – superior mesenteric artery.