Isolated Case of Superior Mesenteric Artery Dissection- A Case Report
Published: July 1, 2024 | DOI: https://doi.org/10.7860/JCDR/2024/69972.19589
Sundara Raja Perumal, K Malathy
1. Professor, Department of Radiodiagnosis, SRM Medical College, Hospital and Research Centre, SRMIST, Kattankulathur, Chengalpattu, Tamil Nadu, India.
2. Professor, Department of Radiodiagnosis, SRM Medical College, Hospital and Research Centre, SRMIST, Kattankulathur, Chengalpattu, Tamil Nadu, India.
Correspondence Address :
Dr. Sundara Raja Perumal,
Professor, Department of Radiodiagnosis, SRM Medical College Hospital and Research Centre, SRMIST, Kattankulathur, Chengalpattu-603203, Tamil Nadu, India.
E-mail: majsundp@srmist.edu.in
Abstract
An isolated case of Superior Mesenteric Artery (SMA) dissection without bowel infarction or bowel ischaemic changes is a rare event. Due to advanced imaging studies, the incidence of isolated SMA dissection is increasing. A 55-year-old male patient with a history of abdominal pain and nausea for two days reported to Emergency services. After an initial examination, the patient underwent contrast Computed Tomography (CT) of the abdomen and was diagnosed as having an isolated dissection of the SMA. Both small and large bowel loops appear normal with no evidence of bowel ischaemic changes. The patient was put on anticoagulant medication, managed conservatively, and improved well. Superior mesenteric dissection is an uncommon condition, a diagnosis of exclusion that should be considered whenever there is a history of unexplained abdominal pain.
Keywords
Classification of Superior mesenteric artery dissection,
Computed tomography abdominal angiogram, Dissection of abdominal aorta