TY - JOUR AU - F. Ribeiro, Tiago AU - Soares Ferreira, Rita PY - 2023/01/14 Y2 - 2024/03/28 TI - Isolated Superior Mesenteric Artery Dissection, A Rare Cause Of Abdominal Pain JF - Portuguese Journal of Cardiac Thoracic and Vascular Surgery JA - Rev Port Cir Cardiotorac Vasc VL - 29 IS - 4 SE - Images in Surgery DO - 10.48729/pjctvs.297 UR - https://pjctvs.com/index.php/journal/article/view/297 SP - 73 AB - <div class="page" title="Page 1"><div class="layoutArea"><div class="column"><p>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 <span style="font-size: 0.875rem;">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.</span></p></div></div></div> ER -