Superior mesenteric artery dissection: Case report

• Published in: Journal of vascular surgery Vol. 35; no. 5; pp. 1003 - 1005
• Main Authors: Gouëffic, Yann, Costargent, Alain, Dupas, Benoît, Heymann, Marie-Françoise, Chaillou, Philippe, Patra, Philippe
• Format: Journal Article Conference Proceeding
• Language: English
• Published: New York, NY Elsevier Inc 01.05.2002; Elsevier
• Subjects: Biological and medical sciences; Dissection; Gastroenterology. Liver. Pancreas. Abdomen; Humans; Male; Medical sciences; Mesenteric Artery, Superior - diagnostic imaging; Mesenteric Artery, Superior - surgery; Middle Aged; Other diseases. Semiology; Rupture, Spontaneous - diagnostic imaging; Rupture, Spontaneous - surgery; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus; Tomography, X-Ray Computed; Arterial disease; Vascular disease; Dissecting aneurysm; Case study; Human; Superior mesenteric artery; Clinical form; Cardiovascular disease
• ISSN: 0741-5214; 1097-6809
• DOI: 10.1067/mva.2002.122152

Spontaneous dissections of the superior mesenteric artery are exceptional events because only 26 reports have been published. We present a new case, revealed with an acute abdominal syndrome. Computed tomographic angiography and arteriography allowed a rapid diagnosis and urgent surgical intervention. Progress in imagery makes diagnosis and follow-up examination easier. Surgery is indicated for acute symptomatic forms with suspicion of mesenteric ischemia. In the other cases, a simple follow-up examination may be appropriate. (J Vasc Surg 2002;35:1003-5.)