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Sequential Multiple Visceral Artery Dissection within a Short Time, without Aortic Dissection
Hiroki Uehara1, Masaki Okuyama1, Yutaro Oe1
1Department of Cardiovascular Medicine, Kin-ikyo Chuo Hospital, Sapporo, Hokkaido, Japan.
Annals of Vascular Diseases
|October 2, 2023
Summary
A 65-year-old man experienced multiple artery dissections, including the inferior mesenteric, left renal, and superior mesenteric arteries. Conservative treatment led to symptom improvement and discharge.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Internal Medicine
Background:
- Arterial dissection is a serious condition affecting blood vessels.
- Multiple spontaneous arterial dissections are rare, particularly without underlying aortic disease.
Purpose of the Study:
- To report a rare case of spontaneous multiple arterial dissections.
- To highlight the diagnostic and management approach in such cases.
Main Methods:
- A case report of a 65-year-old Japanese man presenting with abdominal pain.
- Diagnosis confirmed via contrast-enhanced computed tomography (CT) scans.
- Conservative management strategy employed.
Main Results:
- Initial CT revealed dissections of the inferior mesenteric and left renal arteries.
- A subsequent superior mesenteric artery dissection was identified.
- The patient's symptoms improved with conservative treatment.
Conclusions:
- Spontaneous multiple arterial dissections can occur without aortic dissection.
- Conservative management may be effective in select cases.
- Multidetector CT is crucial for diagnosis.
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