“…Spontaneous idiopathic superior mesenteric artery dissection is rare and could be fatal by inducing bowel ischemia, infarction, and potentially death. 1 , 2 Patients typically present with an acute onset of abdominal pain, back pain, and flank pain however, patients can be asymptomatic. 2 More often seen in men than women, risk factors include hypertension, atherosclerosis, connective tissue disorders, vasculitis, trauma, or idiopathic.…”