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Updated: Oct 11, 2025

Multimodality Diagnosis of Mesenteric Ischemia

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

Isolated Spontaneous Mesenteric Artery Dissection: A Rare Entity.

Akshyaya Pradhan¹, Monika Bhandari¹, Pravesh Vishwakarma¹

¹Department of Cardiology, King George's Medical University, Lucknow, Uttar Pradesh, India.

The International Journal of Angiology : Official Publication of the International College of Angiology, Inc

|December 2, 2021

Summary

This summary is machine-generated.

Isolated spontaneous mesenteric artery dissection is rare, often affecting males. This case highlights a young female with bowel ischemia requiring surgical intervention when conservative management failed.

Keywords:

CT angiography bypass surgery mesenteric ischemia superior mesenteric artery thrombus

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Area of Science:

Vascular Surgery
Gastroenterology
Radiology

Background:

Spontaneous mesenteric artery dissection (SMAD) is an uncommon vascular condition, typically affecting males and presenting with gastrointestinal symptoms.
While often self-limiting and managed conservatively, increased use of computed tomography (CT) angiography leads to more diagnoses, including asymptomatic cases.
Management strategies range from conservative measures to surgical or endovascular interventions for severe ischemia or rupture risk.

Observation:

A case of a young female presenting with isolated spontaneous mesenteric artery dissection and thrombus is detailed.
The patient did not improve with standard medical therapy, including bowel rest, blood pressure control, and anticoagulation.
Clinical deterioration indicated the presence of significant bowel ischemia.

Findings:

The patient experienced persistent symptoms and signs of mesenteric ischemia despite conservative management.
Surgical intervention was deemed necessary due to the lack of improvement and the risk of bowel necrosis.
The case underscores that SMAD can occur in young females and may necessitate aggressive treatment.

Implications:

This case expands the understanding of demographic variations in spontaneous mesenteric artery dissection.
It emphasizes the importance of prompt surgical evaluation for patients with SMAD who exhibit signs of bowel ischemia.
Early surgical management can be crucial in preventing complications like bowel infarction in selected cases.