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Isolated Superior Mesenteric Artery Dissection: A Rare Etiology of Colic Ischemia

Although isolated superior mesenteric artery dissection is a rare disease entity, it possesses high mortality. The pathophysiology remains a mystery. In this case, we report a 68-year-old male with compromised coronary circulation been evaluated for coronary artery bypass surgery (CABG) and who deve...

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Detalles Bibliográficos
Autores principales: Ezeh, Kosisochukwu J, Bellamy, Shannay E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9172272/
https://www.ncbi.nlm.nih.gov/pubmed/35686283
http://dx.doi.org/10.7759/cureus.24819
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author Ezeh, Kosisochukwu J
Bellamy, Shannay E
author_facet Ezeh, Kosisochukwu J
Bellamy, Shannay E
author_sort Ezeh, Kosisochukwu J
collection PubMed
description Although isolated superior mesenteric artery dissection is a rare disease entity, it possesses high mortality. The pathophysiology remains a mystery. In this case, we report a 68-year-old male with compromised coronary circulation been evaluated for coronary artery bypass surgery (CABG) and who developed a sudden, localized, right-sided abdominal pain. It was diagnosed on a computer tomography arteriogram (CTA), revealing a short segmental dissection involving the superior mesenteric artery (SMA). Vascular surgery was consulted and the decision was made to conservatively manage this patient's condition with anticoagulation. He was seen subsequently in the outpatient setting with a resolution of abdominal pain and a repeat computer tomography scan of the abdomen revealed resolution of previously seen colitis changes. Abdominal discomfort is a common complaint for which patients are seen in a variety of therapeutic settings, it is critical to bring attention to this case in order to raise awareness of the possibility of isolated SMA dissection as one of the underlying causes.
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spelling pubmed-91722722022-06-08 Isolated Superior Mesenteric Artery Dissection: A Rare Etiology of Colic Ischemia Ezeh, Kosisochukwu J Bellamy, Shannay E Cureus Internal Medicine Although isolated superior mesenteric artery dissection is a rare disease entity, it possesses high mortality. The pathophysiology remains a mystery. In this case, we report a 68-year-old male with compromised coronary circulation been evaluated for coronary artery bypass surgery (CABG) and who developed a sudden, localized, right-sided abdominal pain. It was diagnosed on a computer tomography arteriogram (CTA), revealing a short segmental dissection involving the superior mesenteric artery (SMA). Vascular surgery was consulted and the decision was made to conservatively manage this patient's condition with anticoagulation. He was seen subsequently in the outpatient setting with a resolution of abdominal pain and a repeat computer tomography scan of the abdomen revealed resolution of previously seen colitis changes. Abdominal discomfort is a common complaint for which patients are seen in a variety of therapeutic settings, it is critical to bring attention to this case in order to raise awareness of the possibility of isolated SMA dissection as one of the underlying causes. Cureus 2022-05-08 /pmc/articles/PMC9172272/ /pubmed/35686283 http://dx.doi.org/10.7759/cureus.24819 Text en Copyright © 2022, Ezeh et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Ezeh, Kosisochukwu J
Bellamy, Shannay E
Isolated Superior Mesenteric Artery Dissection: A Rare Etiology of Colic Ischemia
title Isolated Superior Mesenteric Artery Dissection: A Rare Etiology of Colic Ischemia
title_full Isolated Superior Mesenteric Artery Dissection: A Rare Etiology of Colic Ischemia
title_fullStr Isolated Superior Mesenteric Artery Dissection: A Rare Etiology of Colic Ischemia
title_full_unstemmed Isolated Superior Mesenteric Artery Dissection: A Rare Etiology of Colic Ischemia
title_short Isolated Superior Mesenteric Artery Dissection: A Rare Etiology of Colic Ischemia
title_sort isolated superior mesenteric artery dissection: a rare etiology of colic ischemia
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9172272/
https://www.ncbi.nlm.nih.gov/pubmed/35686283
http://dx.doi.org/10.7759/cureus.24819
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