A rare cause of acute abdominal pain: spontaneous isolated superior mesenteric artery dissection

Authors

  • Georgios Th. Galanopoulos Department of Vascular Surgery, Iasò General Hospital of Athens, Greece
  • Theofanis P. Konstantopoulos Department of Vascular Surgery, NIMTS Military Hospital of Athens, Greece
  • Ioannis A. Christakis Department of Endocrine and General Surgery, King’s College Hospital, London, United Kingdom
  • Petros Α. Antonopoulos Department of Radiology, Sismanogleio - Fleming General Hospital of Athens, Greece
  • Vasilios G. Papavassiliou Department of Vascular Surgery, Sismanogleio - Fleming General Hospital of Athens, Greece

DOI:

https://doi.org/10.18203/2349-2902.isj20182785

Keywords:

Abdominal pain, Dissection, Superior mesenteric artery

Abstract

Spontaneous isolated superior mesenteric artery dissection is an extremely rare nosological entity, usually occurring with acute abdominal pain. Authors present the case of a 56 - year - old female with spontaneous isolated SMA dissection who was admitted to the hospital with epigastric pain of acute onset. The patient was successfully managed nonoperatively, with anticoagulation starting immediately after diagnosis. Patient symptoms resolved after a few days. There is a discrepancy concerning the treatment of isolated SMA dissection.  Generally, if there is no intestinal necrosis or SMA rupture, conservative treatment is safe and effective as an initial approach.

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Published

2018-06-25

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Section

Case Reports