Isolated Superior Mesenteric Artery Dissection, A Rare Cause Of Abdominal Pain

Authors

  • Tiago F. Ribeiro Serviço de Angiologia e Cirurgia Vascular, Hospital de Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Portugal https://orcid.org/0000-0001-9207-5226
  • Rita Soares Ferreira Serviço de Angiologia e Cirurgia Vascular, Hospital de Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Portugal; NOVA Medical School, Universidade NOVA de Lisboa, Portugal https://orcid.org/0000-0002-5502-0194

DOI:

https://doi.org/10.48729/pjctvs.297

Abstract

A 42-year-old previously healthy male presented with 5 days of spontaneous mid-epigastric intense abdominal pain and mild epigastric tenderness on palpation. CT angiography revealed a Sakamoto type 2 isolated superior mesenteric artery dissection (SMA) with a “cul-de-sac” shaped false lumen (B- C: large arrow), side branch perfusion from both lumens, and compression of the true (A-D: small arrow) by the false lumen (A-D: large arrow). Dissection flap presented just distal to an aberrant right hepatic artery arising from the SMA (B.D: star). CT, clinical and analytic findings did not suggest visceral compromise and was successfully treated with bowel rest and anticoagulation. He is now on close clinical and imaging follow-up.

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Published

14-01-2023

How to Cite

1.
F. Ribeiro T, Soares Ferreira R. Isolated Superior Mesenteric Artery Dissection, A Rare Cause Of Abdominal Pain. Rev Port Cir Cardiotorac Vasc [Internet]. 2023 Jan. 14 [cited 2023 Feb. 3];29(4):73. Available from: https://pjctvs.com/index.php/journal/article/view/297

Issue

Section

Images in Surgery

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