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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2010; 20(02): 132-134
DOI: 10.4103/0971-3026.63047
Abdominal

Isolated superior mesenteric artery dissection

Palle Lalitha
Department of Radiology, Focus Diagnostic Center, Punjagutta, Hyderabad, India
,
Balaji Reddy
Department of Radiology, Focus Diagnostic Center, Punjagutta, Hyderabad, India
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Abstract

Isolated superior mesenteric artery (SMA) dissection without involvement of the aorta and the SMA origin is unusual. We present a case of an elderly gentleman who had chronic abdominal pain, worse after meals. CT angiography, performed on a 64-slice CT scanner, revealed SMA dissection with a thrombus. A large artery of Drummond was also seen. The patient was managed conservatively.

Keywords

Abdominal pain - artery of Drummond - superior mesenteric artery dissection


Publication History

Article published online:
02 August 2021

© 2010. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Miyamoto N, Sakurai Y, Hirokami M, Takahashi K, Nishimori H, Tsuji K, et al. Endovascular stent placement for isolated spontaneous dissection of the superior mesenteric artery: report of a case. Radiat Med 2005;23:520-4.
  • 2 Suzuki S, Furui S, Kohtake H, Sakamoto T, Yamasaki M, Furukawa A, et al. Isolated dissection of superior mesenteric artery: CT findings in 6 cases. Abdom Imaging 2004;29:153-7.
  • 3 Javerliat I, Becquemin JP, d′Audiffret A. Spontaneous isolated dissection of superior mesenteric artery. Eur J Vasc Endovasc Surg 2003;25:180-4.
  • 4 Takayama H, Takeda S, Saitoh SK, Hayashi H, Takano T, Tanaka K. Spontaneous isolated dissection of superior mesenteric artery. Intern Med 2002;41:713-6.
  • 5 Dushnitsky T, Peer A, Katzenelson L, Strauss S. Dissecting aneurysm of superior mesenteric artery: Flow dynamics by colour Doppler sonography. J Ultrasound Med 1998;17:781-3.
  • 6 Hirai S, Hamanaka Y, Mitsui N, Isaka M, Kobayashi T. Spontaneous and isolated dissection of main trunk of the superior mesenteric artery. Ann Thorac Cardiovasc Surg 2002;8:236-40.
  • 7 Sheldon PJ, Esther JB, Sheldon EL, Sparks SR, Brophy DP, Oglevie SB. Spontaneous dissection of the superior mesenteric artery. Cardiovasc Intervent Radiol 2001;24:329-31.