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Endovascular stenting of spontaneous isolated dissection of the superior mesenteric artery: A case report and literature review.
Medicine (Baltimore). 2017 Nov; 96(46):e8598.M

Abstract

RATIONALE

Spontaneous isolated dissection of the superior mesenteric artery (SID-SMA) is a rare arterial disease that is difficult to differentiate from other diseases because of lack of specific clinical manifestation and for which there is no available optimal management strategy.

PATIENT CONCERNS

A 58-year-old male patient visited our emergency room with sudden onset of moderate-severe epigastric abdominal pain of uncertain cause.

DIAGNOSES

Computed tomography scanning showed a characteristic "double lumen sign" of the superior mesenteric artery, and further computed tomography angiography findings revealed a dissected segment of the superior mesenteric artery.

INTERVENTIONS

Conservative management was administered for 5 days, but the abdominal pain remained. Subsequently, an endovascular stent was placed in the affected superior mesenteric artery. Postoperative antiplatelet therapy was administered for 6 months.

OUTCOMES

The abdominal pain was relieved. Six months later, a follow-up of computed tomography angiography showed that the stent placed had no interval narrowing.

LESSONS

Based on our review and the illustration of this case, endovascular stenting may be a preferred rescue treatment in SID-SMA patients for whom initial conservative treatment fails.

Authors+Show Affiliations

aEmergency Department bDepartment of Abdominal Emergency, the First Affiliated Hospital of Dalian Medical University, Dalian, China.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

29145276

Citation

Gao, Dong-Na, et al. "Endovascular Stenting of Spontaneous Isolated Dissection of the Superior Mesenteric Artery: a Case Report and Literature Review." Medicine, vol. 96, no. 46, 2017, pp. e8598.
Gao DN, Qi QH, Gong P. Endovascular stenting of spontaneous isolated dissection of the superior mesenteric artery: A case report and literature review. Medicine (Baltimore). 2017;96(46):e8598.
Gao, D. N., Qi, Q. H., & Gong, P. (2017). Endovascular stenting of spontaneous isolated dissection of the superior mesenteric artery: A case report and literature review. Medicine, 96(46), e8598. https://doi.org/10.1097/MD.0000000000008598
Gao DN, Qi QH, Gong P. Endovascular Stenting of Spontaneous Isolated Dissection of the Superior Mesenteric Artery: a Case Report and Literature Review. Medicine (Baltimore). 2017;96(46):e8598. PubMed PMID: 29145276.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endovascular stenting of spontaneous isolated dissection of the superior mesenteric artery: A case report and literature review. AU - Gao,Dong-Na, AU - Qi,Qing-Hui, AU - Gong,Ping, PY - 2017/11/18/entrez PY - 2017/11/18/pubmed PY - 2017/12/1/medline SP - e8598 EP - e8598 JF - Medicine JO - Medicine (Baltimore) VL - 96 IS - 46 N2 - RATIONALE: Spontaneous isolated dissection of the superior mesenteric artery (SID-SMA) is a rare arterial disease that is difficult to differentiate from other diseases because of lack of specific clinical manifestation and for which there is no available optimal management strategy. PATIENT CONCERNS: A 58-year-old male patient visited our emergency room with sudden onset of moderate-severe epigastric abdominal pain of uncertain cause. DIAGNOSES: Computed tomography scanning showed a characteristic "double lumen sign" of the superior mesenteric artery, and further computed tomography angiography findings revealed a dissected segment of the superior mesenteric artery. INTERVENTIONS: Conservative management was administered for 5 days, but the abdominal pain remained. Subsequently, an endovascular stent was placed in the affected superior mesenteric artery. Postoperative antiplatelet therapy was administered for 6 months. OUTCOMES: The abdominal pain was relieved. Six months later, a follow-up of computed tomography angiography showed that the stent placed had no interval narrowing. LESSONS: Based on our review and the illustration of this case, endovascular stenting may be a preferred rescue treatment in SID-SMA patients for whom initial conservative treatment fails. SN - 1536-5964 UR - https://www.unboundmedicine.com/medline/citation/29145276/Endovascular_stenting_of_spontaneous_isolated_dissection_of_the_superior_mesenteric_artery:_A_case_report_and_literature_review_ L2 - https://doi.org/10.1097/MD.0000000000008598 DB - PRIME DP - Unbound Medicine ER -