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Isolated Superior Mesenteric Artery Dissection: A Case Report and Literature Review.
Gastroenterology Res 2018; 11(5):374-378GR

Abstract

Spontaneous isolated superior mesenteric artery dissection (ISMAD) is an uncommon cause of abdominal pain. Clinical presentation ranges from an asymptomatic incidental finding to acute bowel ischemia or fatal aneurysmal super mesenteric artery (SMA) rupture. We report the case of a 58-year-old male presenting with abdominal pain. Imaging studies revealed an ISMAD without radiological evidence of bowel ischemia. The patient was successfully treated using a conservative approach including bowel rest and anticoagulation. ISMAD incidence is expected to increase with the utilization of advanced imaging modalities. Thus, an ISMAD should be suspected when other common causes of an acute abdomen have been excluded. Given the lack of evidence-based guidelines, management options include conservative treatment and anticoagulation, endovascular stenting, or open surgical repair.

Authors+Show Affiliations

Department of Internal Medicine, Advocate Illinois Masonic Medical Center, 836 W Wellington Ave., Chicago, IL 60657, USA.Department of Internal Medicine, Advocate Illinois Masonic Medical Center, 836 W Wellington Ave., Chicago, IL 60657, USA.Department of Internal Medicine, Detroit Medical Center/Wayne State University School of Medicine, Detroit, MI, USA.Department of Internal Medicine, Advocate Illinois Masonic Medical Center, 836 W Wellington Ave., Chicago, IL 60657, USA.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

30344810

Citation

Daoud, Hussein, et al. "Isolated Superior Mesenteric Artery Dissection: a Case Report and Literature Review." Gastroenterology Research, vol. 11, no. 5, 2018, pp. 374-378.
Daoud H, Abugroun A, Subahi A, et al. Isolated Superior Mesenteric Artery Dissection: A Case Report and Literature Review. Gastroenterology Res. 2018;11(5):374-378.
Daoud, H., Abugroun, A., Subahi, A., & Khalaf, H. (2018). Isolated Superior Mesenteric Artery Dissection: A Case Report and Literature Review. Gastroenterology Research, 11(5), pp. 374-378. doi:10.14740/gr1056w.
Daoud H, et al. Isolated Superior Mesenteric Artery Dissection: a Case Report and Literature Review. Gastroenterology Res. 2018;11(5):374-378. PubMed PMID: 30344810.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Isolated Superior Mesenteric Artery Dissection: A Case Report and Literature Review. AU - Daoud,Hussein, AU - Abugroun,Ashraf, AU - Subahi,Ahmed, AU - Khalaf,Habeeb, Y1 - 2018/10/01/ PY - 2018/06/18/received PY - 2018/08/08/accepted PY - 2018/10/23/entrez PY - 2018/10/23/pubmed PY - 2018/10/23/medline KW - Hypertension KW - Superior mesenteric artery dissection SP - 374 EP - 378 JF - Gastroenterology research JO - Gastroenterology Res VL - 11 IS - 5 N2 - Spontaneous isolated superior mesenteric artery dissection (ISMAD) is an uncommon cause of abdominal pain. Clinical presentation ranges from an asymptomatic incidental finding to acute bowel ischemia or fatal aneurysmal super mesenteric artery (SMA) rupture. We report the case of a 58-year-old male presenting with abdominal pain. Imaging studies revealed an ISMAD without radiological evidence of bowel ischemia. The patient was successfully treated using a conservative approach including bowel rest and anticoagulation. ISMAD incidence is expected to increase with the utilization of advanced imaging modalities. Thus, an ISMAD should be suspected when other common causes of an acute abdomen have been excluded. Given the lack of evidence-based guidelines, management options include conservative treatment and anticoagulation, endovascular stenting, or open surgical repair. SN - 1918-2805 UR - https://www.unboundmedicine.com/medline/citation/30344810/Isolated_Superior_Mesenteric_Artery_Dissection:_A_Case_Report_and_Literature_Review_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/30344810/ DB - PRIME DP - Unbound Medicine ER -