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CC BY 4.0 · Surg J (N Y) 2023; 09(03): e89-e91
DOI: 10.1055/s-0043-1770955
Case Report

Isolated Superior Mesenteric Artery Dissection following Blunt Trauma: A Case Report

Katsudai Shirakabe 
1   Tokyo Bay Urayasu Ichikawa. Department of General Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu-City, Chiba, Japan
,
Masaki Kanzaki
2   Department of General Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu-City, Chiba, Japan
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Abstract

Isolated superior mesenteric artery dissection (ISMAD) is rare, with symptoms ranging from asymptomatic to acute intestinal ischemia. Risk factors for ISMAD include hypertension, atherosclerosis, abnormal elastic fibers, and pregnancy. In the present case, blunt trauma, which has not been previously reported, was suggested as a risk factor. A 46-year-old man was brought to the emergency room after he was found unconscious after a motor vehicle collision. At presentation, he had no abdominal symptoms; however, on the fourth day of admission, he presented with severe abdominal pain and vomiting. A contrast-enhanced computed tomography scan revealed an ISMAD with associated intestinal ischemia and necrosis; hence, emergency surgery was performed. Herein, we report a case of ISMAD caused by blunt abdominal trauma.

Keywords

abdominal pain - blunt trauma - ischemia - ISMAD - necrosis - vomiting


Publication History

Received: 14 January 2023

Accepted: 26 May 2023

Article published online:
10 July 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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