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Int J Angiol 2021; 30(04): 313-316
DOI: 10.1055/s-0040-1718544
Case Report

Isolated Spontaneous Mesenteric Artery Dissection: A Rare Entity

Akshyaya Pradhan 
1   Department of Cardiology, King George's Medical University, Lucknow, Uttar Pradesh, India
,
Monika Bhandari 
1   Department of Cardiology, King George's Medical University, Lucknow, Uttar Pradesh, India
,
Pravesh Vishwakarma
1   Department of Cardiology, King George's Medical University, Lucknow, Uttar Pradesh, India
,
Shailendra Kumar
2   Department of Thoracic and Vascular Surgery, King George’s Medical University, Lucknow, Uttar Pradesh, India
,
Anurag Rai
2   Department of Thoracic and Vascular Surgery, King George’s Medical University, Lucknow, Uttar Pradesh, India
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Abstract

Isolated spontaneous dissection of the mesenteric artery in the absence of involvement of the aorta or its branches is an uncommon vascular entity. It is generally seen in males and presents with gastrointestinal symptoms due to mesenteric ischemia. However, asymptomatic cases are increasingly being diagnosed due to increased use of computed tomography (CT) angiography. The course is usually self-limiting, and conservative management with bowel rest, strict blood pressure control, anticoagulants, sedatives for pain, and close observation usually suffices. Surgery or endovascular stenting is usually reserved for those exhibiting bowel ischemia or impending rupture. We report a case of a young female with isolated spontaneous mesenteric artery dissection with thrombus, which did not improve with medical therapy and was managed promptly by surgery due to the presence of bowel ischemia.

Keywords

superior mesenteric artery - CT angiography - mesenteric ischemia - thrombus - bypass surgery


Publication History

Article published online:
03 February 2021

© 2021. International College of Angiology. This article is published by Thieme.

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