Korean J Gastroenterol.  2006 Feb;47(2):168-172.

A Case of Spontaneous Dissection of the Superior Mesenteric Artery Treated by Percutaneous Stent Placement

• Ko GJ
• Han KJ
• Han SG
• Hwang SY
• Choi CH
• Gham CW
• Cho HG
• Song SY
• Jung JH

Abstract

Acute mesenteric ischemia can result from emboli, arterial and venous thrombi or vasoconstriction secondary to low-flow states. Isolated spontaneous dissection of the superior mesenteric artery is a rare cause of acute mesenteric ischemia. The mortality rates of acute mesenteric ischemia averages 71% with a range of 59-93%. Diagnosis before the occurrence of intestinal infarction is the most important factor in improving survival rate for patients with acute mesenteric ischemia. A 68-year-old female presented with postprandial epigastric pain, and a dissection of the superior mesenteric artery and a gallbladder polyp were shown in abdominal computed tomographic scan. After the percutaneous metalic stent placement and laparoscopic cholecystectomy, her symptoms improved. We report a case of spontaneous dissection of main trunk of the superior mesenteric artery which was successfully treated by percutaneous stent placement with a review of literature.

Keyword

Spontaneous dissection; Superior mesenteric artery; Stent placement

MeSH Terms

Acute Disease
Aged
Aneurysm, Dissecting/complications/*therapy
*Angioplasty, Balloon
Female
Humans
Ischemia/etiology
*Mesenteric Artery, Superior
Mesenteric Vascular Occlusion/etiology
*Stents