13 April 2021
: Case report
Two Cases of Spontaneous Isolated Dissection of Superior Mesenteric Artery in One Night: Report of a (Noninvasive) Double Challenge
Management of emergency care
Giuseppe Evola1ABEF*, Giuseppe Angelo Reina2AEF, Dario Cavallaro3ABEF, Pietro Valerio Foti4AEF, Andrea Giovanni Musumeci5EF, Stefano Palmucci4AEF, Antonio Basile4ABEFDOI: 10.12659/AJCR.929538
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.






