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 3. Case 2 involved a 45-year-old White man with a 3-day history of severe abdominal cramping and pain. Abdominal computed tomography (CT) scan and preprocedural angiogram confirmed SID-SMA with hypoperfusion of the bowel loops and cecum (A, B). Follow-up abdominal CT scan showed good patency of the stent lumen (C, arrow; D). Postprocedural angiogram showed good patency of the SMA and ileo-colic artery with improved distal vascularization (E). 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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