Three isolated superior mesenteric artery dissections: update of previous case reports, diagnostics, and treatment options

J Vasc Surg. 2008 Mar;47(3):649-653. doi: 10.1016/j.jvs.2007.08.052.

Abstract

Isolated superior mesenteric artery dissection is a relatively rare vascular pathology. However, the number of recent case reports has shown an increasing incidence with the widespread use of computed tomography imaging for abdominal pain. Here we report three cases of isolated superior mesenteric artery dissection. The unique surgical option of small bowel transplantation along with successful medical management is described. A treatment algorithm for isolated superior mesenteric artery dissection is also proposed.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / etiology
  • Abdominal Pain / therapy
  • Adult
  • Algorithms
  • Anticoagulants / therapeutic use*
  • Aortic Dissection / complications
  • Aortic Dissection / diagnostic imaging
  • Aortic Dissection / therapy*
  • Clinical Protocols
  • Combined Modality Therapy
  • Digestive System Surgical Procedures*
  • Female
  • Humans
  • Intestine, Small / transplantation
  • Male
  • Mesenteric Artery, Superior / diagnostic imaging
  • Mesenteric Vascular Occlusion / complications
  • Mesenteric Vascular Occlusion / diagnostic imaging
  • Mesenteric Vascular Occlusion / therapy*
  • Middle Aged
  • Narcotics / therapeutic use*
  • Parenteral Nutrition, Home Total*
  • Patient Selection
  • Radiography
  • Treatment Outcome

Substances

  • Anticoagulants
  • Narcotics