Endovascular therapy versus medical treatment for spontaneous isolated dissection of the superior mesenteric artery

Qiu, Chenyang; Wu, Ziheng; He, Yangyan; Tian, Lu; Zhu, Qianqian; Shang, Tao; Zhang, Hongkun; Li, Donglin

doi:10.1002/14651858.cd014703.pub2

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2022

2024

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Cited by 3 publications

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“…The clinical presentation varies. While over 10% of patients are asymptomatic and are incidentally diagnosed, the main symptom of SIDSMA is abdominal pain, which may or may not be preceded by lower back pain and can be acute or chronically postprandial [ 2 , 5 ]. Other nonspecific digestive signs, such as diarrhea and hematochezia, may also occur [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Secondary Hemorrhagic Shock Due to Spontaneous Isolated Dissection of the Superior Mesenteric Artery Branch

Muneza,

Colson,

Silber

et al. 2024

Cureus

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Spontaneous isolated dissection of the superior mesenteric artery (SIDSMA) is a rare condition, particularly when complicated by hemorrhagic shock. This case report describes the discovery of SIDSMA in an 88-year-old woman through CT angiography. The patient initially presented with acute abdominal pain, nausea, and diarrhea, which later progressed to hemorrhagic shock. After fluid resuscitation, the patient underwent successful endovascular treatment.

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Section: Discussionmentioning

confidence: 99%