alexa Isolated Spontaneous Dissection of the Superior Mesente
ISSN: 2165-8048

Internal Medicine: Open Access
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Case Report

Isolated Spontaneous Dissection of the Superior Mesenteric Artery: Report of Two Cases

Lin JW1, Chien CY1, Li YD1, Chen CH1, Chen CW1, Chen SJ2 and Lin TK1*

1Cardiovascular Center, Buddhist Dalin Tzu Chi General Hospital, Dalin, Chiayi, Taiwan

2Department of Radiology, Buddhist Dalin Tzu Chi General Hospital, Dalin, Chiayi, Taiwan

Corresponding Author:
Lin TK
Cardiovascular Center
Buddhist Dalin Tzu Chi General Hospital No. 2
Min-Sheng Road, Dalin 622, Chiayi, Taiwan
Tel: 886-5-264-8000
Fax: 886-5-264-8006
E-mail: [email protected]

Received Date: November 08, 2016; Accepted Date: November 28, 2016; Published Date: December 02, 2016

Citation: Lin JW, Chien CY, Li YD, Chen CH, Chen CW, et al. (2016) Isolated Spontaneous Dissection of the Superior Mesenteric Artery: Report of Two Cases. Intern Med 6:229. doi:10.4172/2165-8048.1000229

Copyright: © 2016 Lin JW, et al. 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.



Isolated spontaneous superior mesenteric artery (SMA) dissection is rare, and difficult to diagnose due to nonspecific signs and symptoms. The clinic presentations include abdominal pain, nausea, and vomiting. The incidence appears to be increasing, possibly as a result of the widespread use of computed tomography angiography (CTA) imaging for abdominal pain. There is no consensus regarding the best treatment of spontaneous isolated dissection of the SMA. Herein, we present 2 cases in which isolated superior mesenteric dissection was diagnosed by CTA. The first case received conservative treatment, and the other case received endovascular therapy. Both patients had good long-term clinical results.


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