Korean J Gastroenterol.  2013 Nov;62(5):310-312. 10.4166/kjg.2013.62.5.310.

Spontaneous Isolated Superior Mesenteric Artery Dissection Mimicking Superior Mesenteric Artery Syndrome

• Lee WH
• Lim CH
• Kim SW

• KMID: 1775741
• DOI: http://doi.org/10.4166/kjg.2013.62.5.310

Abstract

No abstract available.

MeSH Terms

Aged
Constriction, Pathologic
Diagnosis, Differential
Female
Humans
Jejunum/pathology
Mesenteric Artery, Superior/*pathology/radiography/surgery
Stents
Superior Mesenteric Artery Syndrome/diagnosis/radiography
Thrombosis/radiography/surgery
Tomography, X-Ray Computed

Figure

• 

  Fig. 1. Abdominal CT scan reveals marked distension of stomach and duodenum (A, B), and narrowing of proximal jejunum (C). (D) An 8×6 mm-sized thrombus is seen within the proximal superior mesenteric artery.

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  Fig. 2. (A) Angiography shows moderate and eccentric stenosis of the proximal superior mesenteric artery. (B) An 8 Fr guiding catheter was inserted into arterial sheath over the 0.035 Fr guidewire and its tip was placed within the proximal portion of the superior mesenteric artery.(C, D) The stenotic site was dilated and an 8×40 mm self expandable stent (Zilver; Cook Medical, Bloomington, IN, USA) was inserted which was expanded wtih 6×20 mm balloon (Foxcross; Abbott Vascular, Abbott Park, IL, USA). (E) Follow-up renal arteriography reveals well positioned stent with patent superior mesenteric artery lumen.

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  Fig. 3. Upper gastrointestinal series show no definite evidence of luminal narrowing or passage disturbance.

Reference

References

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3. Min SI, Yoon KC, Min SK, et al. Current strategy for the treatment of symptomatic spontaneous isolated dissection of superior mesenteric artery. J Vasc Surg. 2011; 54:461–466.