Three isolated superior mesenteric artery dissections: update of previous case reports, diagnostics, and treatment options.
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.
Morris
John T
JT
Department of Surgery, MetroHealth Hospital, Grand Rapids, MI 49506, USA. jahqmo@hotmail.com
Guerriero
John
J
Sage
Joseph G
JG
Mansour
M Ashraf
MA
D015746:Abdominal Pain / Q000209:etiology / Q000628:therapy; D000328:Adult; D000465:Algorithms; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D000925:Anticoagulants / Q000627:therapeutic use*; D002985:Clinical Protocols; D003131:Combined Modality Therapy; D013505:Digestive System Surgical Procedures; D005260:Female; D006801:Humans; D007421:Intestine, Small / Q000637:transplantation; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging; D008641:Mesenteric Vascular Occlusion / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D008875:Middle Aged; D009294:Narcotics / Q000627:therapeutic use*; D016562:Parenteral Nutrition, Home Total; D018579:Patient Selection; D011859:Radiography; D016896:Treatment Outcome
D000925:Anticoagulants; D009294:Narcotics