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Related Experiment Video

Updated: Dec 22, 2025

Multimodality Diagnosis of Mesenteric Ischemia
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Superior Mesenteric Artery Dissection After Lumbar Puncture.

Luz M Ramirez1, Sebastian Casillas2, Hussein Berjaoui2,3

  • 1Pulmonology and Critical Care, Benemerita Universidad Autonoma De Puebla, Puebla, MEX.

Cureus
|May 7, 2020
PubMed
Summary

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A rare case of superior mesenteric artery dissection occurred in a 63-year-old female after a lumbar puncture. This complication highlights the importance of considering arterial variations during medical procedures.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Gastroenterology

Background:

  • Lumbar puncture (LP) is a common diagnostic procedure.
  • Iatrogenic injuries can occur during invasive procedures.
  • Superior mesenteric artery (SMA) dissection is a rare but serious vascular emergency.

Observation:

  • A 63-year-old female developed severe abdominal and back pain, nausea, and vomiting hours after an LP.
  • Abdominal CT revealed hemoperitoneum, indicating internal bleeding.
  • Hemoglobin levels dropped significantly, requiring a blood transfusion.

Findings:

  • The patient was diagnosed with iatrogenic dissection of the superior mesenteric artery.
  • The dissection was a complication of the preceding lumbar puncture procedure.
Keywords:
hemoperitoneumlumbar punctureretroperitoneal bleedspinal tapsuperior mesenteric artery dissection

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  • This case underscores a potential, albeit infrequent, risk associated with LP.
  • Implications:

    • Physicians must be aware of potential arterial variations and procedural risks during LP.
    • Prompt recognition and management of SMA dissection are crucial for patient outcomes.
    • Acute abdominal pain following invasive procedures warrants thorough investigation.