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 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.