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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 care

Giuseppe Evola A* , Giuseppe Angelo Reina A , Dario Cavallaro A , Pietro Valerio Foti A , Andrea Giovanni Musumeci E , Stefano Palmucci A , Antonio Basile A

DOI: 10.12659/AJCR.929538

Am J Case Rep 2021; 22:e929538

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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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923