Abstract
References
- Ullah W, Mukhtar M, Mohammad AH, Rashid MU, Ahmad A, Hurairah A, et al. Diagnosis and Management of Isolated Superior Mesenteric Artery Dissection: A Systematic Review and Meta-Analysis. Korean Circ J 2019;49:400-8.
- Daoud H, Abugroun A, Subahi A, Khalaf H. Isolated Superior Mesenteric Artery Dissection: A Case Report and Literature Review. Gastroenterol Res 2018;11:374-8.
- Yan W, Huang R, Shi Q, Shan H, Zhu Y, Cheng G, et al. Multidetector computed tomography in the diagnosis of spontaneous isolated superior mesenteric artery dissection: changes in diameter on nonenhanced scan and stent treatment follow-up. J Int Med Res 2019;47:6139-48.
- Kim HK, Jung HK, Cho J, Lee JM, Huh S. Clinical and radiologic course of symptomatic spontaneous isolated dissec¬tion of the superior mesenteric artery treated with conservative management. J Vasc Surg 2014; 59:465 72.
- Salt Ö, Sayhan MB, Duyar E. Isolated superior mesenteric artery dissection in the emergency department: A rare cause of abdominal pain. Am J Emerg Med 2018;36: 2341.
- Dou L, Tang H, Zheng P, Wang C, Li D, Yang J. Isolated superior mesenteric artery dissection: CTA features and clinical relevance. Abdom Radiol (NY). 2019 Aug 10. doi: 10.1007/s00261-019-02171-4.
- Patelis N, Doukas P, Dodos I, Karampelas T, Kanellopoulos I, Kyriakopoulou K, et al. Endovascular Repair of a Complex Isolated Dissecting Aneurysm of the Superior Mesenteric Artery. EJVES Short Rep 2019; 44: 5-8.
- Huang CY, Sun JT, Lien WC. Early Detection of Superior Mesenteric Artery Dissection by Ultrasound: Two Case Reports. J Med Ultrasound 2019;27: 47-9.
- Kimura Y, Kato T, Inoko M. Outcomes of Treatment Strategies for Isolated Spontaneous Dissection of the Superior Mesenteric Artery: A Systematic Review. Ann Vasc Surg 2018;47:284-90.
- Qiu C, He Y, Li D, Shang T, Wang X, Wu Z, et al. Mid-Term Results of Endovascular Treatment for Spontaneous Isolated Dissection of the Superior Mesenteric Artery. Eur J Vasc Endovasc Surg 2019;58:88-95.
Abstract
Introduction: Isolated superior mesenteric artery dissection (ISMAD) has severe and sudden-onset abdominal pain with little physical examination findings. Misdiagnosis of ISMAD is seen commonly in clinical practice, which may lead to severe intestinal ischemic necrosis or even death. Here, we present a patient with abdominal pain and diagnosed as ISMAD.
Case Report: A 46-year-old male was admitted to the emergency department with sudden onset abdominal pain and constipation. He had hypertension and asthma in his history. There was epigastric tenderness in his physical examination. Laboratory tests revealed no pathological findings except high white blood cell count. His complaints did not alleviate despite medical treatment and contrast enhanced abdominal computed tomography was kperformed. The patient was diagnosed as ISMAD and underwent emergency surgery. The patient developed widespread bowel ischemic necrosis and exitus occurred.
Conclusion: Emergency physicians should be aware of ISMAD and include this in differential diagnoses, especially in patients with acute onset of abdominal pain.
References
- Ullah W, Mukhtar M, Mohammad AH, Rashid MU, Ahmad A, Hurairah A, et al. Diagnosis and Management of Isolated Superior Mesenteric Artery Dissection: A Systematic Review and Meta-Analysis. Korean Circ J 2019;49:400-8.
- Daoud H, Abugroun A, Subahi A, Khalaf H. Isolated Superior Mesenteric Artery Dissection: A Case Report and Literature Review. Gastroenterol Res 2018;11:374-8.
- Yan W, Huang R, Shi Q, Shan H, Zhu Y, Cheng G, et al. Multidetector computed tomography in the diagnosis of spontaneous isolated superior mesenteric artery dissection: changes in diameter on nonenhanced scan and stent treatment follow-up. J Int Med Res 2019;47:6139-48.
- Kim HK, Jung HK, Cho J, Lee JM, Huh S. Clinical and radiologic course of symptomatic spontaneous isolated dissec¬tion of the superior mesenteric artery treated with conservative management. J Vasc Surg 2014; 59:465 72.
- Salt Ö, Sayhan MB, Duyar E. Isolated superior mesenteric artery dissection in the emergency department: A rare cause of abdominal pain. Am J Emerg Med 2018;36: 2341.
- Dou L, Tang H, Zheng P, Wang C, Li D, Yang J. Isolated superior mesenteric artery dissection: CTA features and clinical relevance. Abdom Radiol (NY). 2019 Aug 10. doi: 10.1007/s00261-019-02171-4.
- Patelis N, Doukas P, Dodos I, Karampelas T, Kanellopoulos I, Kyriakopoulou K, et al. Endovascular Repair of a Complex Isolated Dissecting Aneurysm of the Superior Mesenteric Artery. EJVES Short Rep 2019; 44: 5-8.
- Huang CY, Sun JT, Lien WC. Early Detection of Superior Mesenteric Artery Dissection by Ultrasound: Two Case Reports. J Med Ultrasound 2019;27: 47-9.
- Kimura Y, Kato T, Inoko M. Outcomes of Treatment Strategies for Isolated Spontaneous Dissection of the Superior Mesenteric Artery: A Systematic Review. Ann Vasc Surg 2018;47:284-90.
- Qiu C, He Y, Li D, Shang T, Wang X, Wu Z, et al. Mid-Term Results of Endovascular Treatment for Spontaneous Isolated Dissection of the Superior Mesenteric Artery. Eur J Vasc Endovasc Surg 2019;58:88-95.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Case Report |
| Authors | |
| Publication Date | October 9, 2020 |
| Submission Date | April 5, 2020 |
| Published in Issue | Year 2020 Volume: 11 Issue: 2 |
