Two Cases of Spontaneous Isolated Dissection of Superior Mesenteric Artery in One Night: Report of a (Noninvasive) Double Challenge

Giuseppe Evola; Giuseppe Angelo Reina; Dario Cavallaro; Pietro Valerio Foti; Andrea Giovanni Musumeci; Stefano Palmucci; Antonio Basile

doi:10.12659/AJCR.929538

13 April 2021 : Case report Italy

Two Cases of Spontaneous Isolated Dissection of Superior Mesenteric Artery in One Night: Report of a (Noninvasive) Double Challenge

Management of emergency care

Giuseppe Evola^1ABEF*, Giuseppe Angelo Reina^2AEF, Dario Cavallaro^3ABEF, Pietro Valerio Foti^4AEF, Andrea Giovanni Musumeci^5EF, Stefano Palmucci^4AEF, Antonio Basile^4ABEF

DOI: 10.12659/AJCR.929538

Am J Case Rep 2021; 22:e929538

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Figure 2. 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 revealed the presence of the previously employed stent for SID-SMA (A) and the recurrence of a dissection inferiorly with the aneurysm of false lumen (red signal) (B). Fluoroscopy showed additional stenting of the distal SMA with coils deployed in the aneurysm of the false lumen (white arrow) (C). A follow-up abdominal CT scan showed good patency of the stent lumen (D). SID – spontaneous isolated dissection; SMA – superior mesenteric artery.

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Two Cases of Spontaneous Isolated Dissection of Superior Mesenteric Artery in One Night: Report of a (Noninvasive) Double Challenge

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