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Isolated dissection of the superior mesenteric artery

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Abstract

Dissection of the superior mesenteric artery (SMA) not associated with aortic dissection is rare. The purpose of this study is to describe the computed tomographic (CT) findings of this condition. We studied the CT findings of six patients with isolated dissection of the SMA. CT demonstrated thrombosis of the false lumen or intramural hematoma (n = 4) and/or intimal flap (n = 4) in all six patients. Other CT findings were enlarged diameter of the SMA (n = 5), increased attenuation of the fat around the SMA (n = 5), and hematoma in the mesentery with hemorrhagic ascites (n = 1). CT is useful for the diagnosis of isolated dissection of the SMA, and increased attenuation of the fat around the artery is considered the key to the diagnosis when no definite findings are evident.

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References

  1. SR Bauersfeld (1974) ArticleTitleDissecting aneurysm of the aorta: a presentation of fifteen cases and a review of the recent literature Ann Intern Med 26 873–889

    Google Scholar 

  2. F Cormier J Ferry B Artru et al. (1992) ArticleTitleDissecting aneurysms of the main trunk of the superior mesenteric artery J Vasc Surg 15 424–430 Occurrence Handle1735904 Occurrence Handle10.1016/0741-5214(92)90265-A Occurrence Handle1:STN:280:DyaK387jvFGjsw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  3. M Yamagata S Taniguchi F Kawai et al. (1995) ArticleTitleAn isolated dissecting aneurysm of the superior mesenteric artery Jpn J Med Ultrasonics 22 181–186

    Google Scholar 

  4. M Ando M Ito Y Mishima (1995) ArticleTitleSpontaneous dissecting aneurysm of the main trunk of the superior mesenteric artery: report of a case Surg Today 25 468–470 Occurrence Handle7640482 Occurrence Handle10.1007/BF00311831 Occurrence Handle1:STN:280:DyaK2MzmslOqtg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  5. S Hirai Y Hamanaka N Mitsui et al. (2002) ArticleTitleSpontaneous dissection of the main trunk of the superior mesenteric artery Ann Thorac Cardiovasc Surg 8 236–240 Occurrence Handle12472390

    PubMed  Google Scholar 

  6. T Sagiuchi Y Asano H Yanaihara et al. (2001) ArticleTitleThree-dimensional CT in isolated dissecting aneurysm of the superior mesenteric artery: a case report Radiat Med 19 271–273 Occurrence Handle11724259 Occurrence Handle1:STN:280:DC%2BD3MnnvVGrtw%3D%3D

    PubMed  CAS  Google Scholar 

  7. F Corbbetti M Vigo A Bulzacchi et al. (1989) ArticleTitleCT diagnosis of spontaneous dissection of the superior mesenteric artery J Comput Assist Tomogr 13111 965–967 Occurrence Handle10.1097/00004728-198911000-00006

    Article  Google Scholar 

  8. T Ambo Y Noguchi H Iwasaki et al. (1994) ArticleTitleAn isolated dissecting aneurysm of the superior mesenteric artery: report of a case Surg Today 24 933–936 Occurrence Handle7894196 Occurrence Handle10.1007/BF01651014 Occurrence Handle1:STN:280:DyaK2M3gtFCksA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  9. H Yasuhara H Shigematsu T Muto (1998) ArticleTitleSelf-limited spontaneous dissection of the main trunk of the superior mesenteric artery J Vasc Surg 27 776–779 Occurrence Handle9576098 Occurrence Handle10.1016/S0741-5214(98)70250-2 Occurrence Handle1:STN:280:DyaK1c3jsFKgsg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  10. PJ Sheldon JB Esther EL Sheldon et al. (2001) ArticleTitleSpontaneous dissection of the superior mesenteric artery Cardiovasc Intervent Radiol 24 329–331 Occurrence Handle11815839 Occurrence Handle10.1007/s00270-001-2565-0 Occurrence Handle1:STN:280:DC%2BD38%2FosFymtA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  11. M Kimura T Matsuda K Fukase et al. (2002) ArticleTitleClinical study of dissection of the superior mesenteric artery Nippon Shokakibyo Gakkai Zasshi 99 145–151 Occurrence Handle11877950

    PubMed  Google Scholar 

  12. Y Takehara M Takahashi T Fukaya et al. (1988) ArticleTitleComputed tomography of isolated dissecting aneurysm of the superior mesenteric artery J Comput Assist Tomogr 12 678–680 Occurrence Handle3392279 Occurrence Handle10.1097/00004728-198807000-00036 Occurrence Handle1:STN:280:DyaL1c3ntlOrtw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  13. K Nakamura M Nozue Y Sakakibara et al. (1997) ArticleTitleNatural history of a spontaneous dissecting aneurysm of the proximal superior mesenteric artery: report of a case Surg Today 27 272–274 Occurrence Handle9068114 Occurrence Handle10.1007/BF00941661 Occurrence Handle1:STN:280:DyaK2s3itV2msA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  14. H Takayama S Takeda SK Saitoh et al. (2002) ArticleTitleSpontaneous isolated dissection of the superior mesenteric artery Intern Med 41 713–716 Occurrence Handle12322798 Occurrence Handle10.2169/internalmedicine.41.713

    Article  PubMed  Google Scholar 

  15. E Barmeir S Halachmi S Croitoru et al. (1998) ArticleTitleCT angiography diagnosis of spontaneous dissection of the superior mesenteric artery AJR 171 1429–1430 Occurrence Handle9798897 Occurrence Handle1:STN:280:DyaK1M%2Fhtlansw%3D%3D

    PubMed  CAS  Google Scholar 

  16. N Murata M Yamada T Takaba et al. (1997) ArticleTitleSurgical treatment for dissecting aneurysm of the superior mesenteric Jpn J Vasc Surg 6 827–833

    Google Scholar 

  17. K Iha Y Nakasone H Nakachi et al. (2000) ArticleTitleSurgical treatment of spontaneous dissection of the superior mesenteric artery: a case report Ann Thorac Cardiovasc Surg 6 65–69 Occurrence Handle10748364 Occurrence Handle1:STN:280:DC%2BD3c3htlKnuw%3D%3D

    PubMed  CAS  Google Scholar 

  18. SR Sparks JC Vasquez JJ Bergan et al. (2000) ArticleTitleFailure of nonoperative management of isolated superior mesenteric artery dissection Ann Vasc Surg 14 105–109 Occurrence Handle10742422 Occurrence Handle10.1007/s100169910019 Occurrence Handle1:STN:280:DC%2BD3c3gvFKqsg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  19. T Dushnitsky A Peer L Katzenelson et al. (1998) ArticleTitleDissecting aneurysm of the superior mesenteric artery: flow dynamics by color Doppler sonography J Ultrasound Med 17 781–783 Occurrence Handle9849953 Occurrence Handle1:STN:280:DyaK1M%2FmsFajtw%3D%3D

    PubMed  CAS  Google Scholar 

  20. H Hyodo K Hyodo K Takahashi et al. (1996) ArticleTitleThree-dimensional CT imaging of an isolated dissecting aneurysm of the superior mesenteric artery Abdom Imaging 21 515–516 Occurrence Handle10.1007/s002619900116

    Article  Google Scholar 

  21. AA Common J Pressacco (1999) ArticleTitleChronic dissection of the superior mesenteric artery: case report Can Assoc Radiol J 50 23–25 Occurrence Handle10047745 Occurrence Handle1:STN:280:DyaK1M7lslaktw%3D%3D

    PubMed  CAS  Google Scholar 

  22. R Wadhwani J Modhe K Pandey et al. (2001) ArticleTitleColor Doppler sonographic diagnosis dissecting aneurysm of the superior mesenteric artery J Clin Ultrasound 29 247–249 Occurrence Handle11323781 Occurrence Handle10.1002/jcu.1028 Occurrence Handle1:STN:280:DC%2BD3MzpsFKqsA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  23. MM Solis TJ Ranval DR McFarland et al. (1993) ArticleTitleSurgical treatment of superior mesenteric artery dissecting aneurysm and simultaneous celiac artery compression Ann Vasc Surg 7 457–462 Occurrence Handle8268091 Occurrence Handle10.1007/BF02002130 Occurrence Handle1:STN:280:DyaK2c%2Fpt1Grtg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  24. WC Krupski DJ Effenecy WK Ehrenfeld (1985) ArticleTitleSpontaneous dissection of the superior mesenteric artery J Vasc Surg 22 731–734

    Google Scholar 

  25. K Koto M Suzuki H Hashimoto et al. (1989) ArticleTitleA case of spontaneous dissection of the superior mesenteric artery J Jpn Cardiovasc Surg 19 25–27 Occurrence Handle10.4326/jjcvs.19.25

    Article  Google Scholar 

  26. PV Vignati JP Weich L Ellison et al. (1992) ArticleTitleAcute mesenteric ischemia caused by isolated superior mesenteric artery dissection J Vasc Surg 16 109–112 Occurrence Handle1619710 Occurrence Handle10.1016/0741-5214(92)90426-9 Occurrence Handle1:STN:280:DyaK38zhvVegtA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  27. Y Okino H Kiyosue H Mori et al. (2001) ArticleTitleRoot of the small-bowel mesentery: correlative anatomy and CT features of pathologic conditions Radiographics 21 1475–1490 Occurrence Handle11706218 Occurrence Handle1:STN:280:DC%2BD3MnltlCmsA%3D%3D

    PubMed  CAS  Google Scholar 

  28. BK Seo HK Ha AY Kim et al. (2003) ArticleTitleSegmental misty mesentery: analysis of CT features and primary causes Radiology 226 86–94 Occurrence Handle12511673 Occurrence Handle10.1148/radiol.2261011547

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8605, Japan

    S. Suzuki, S. Furui & H. Kohtake

  2. Department of Radiology, Kohka Public Hospital, 3-39, Rokusin, Minakuchi-cho, Kouka, Shiga, 528-0014, Japan

    T. Sakamoto

  3. Department of Radiology, Shiga University of Medical Science, Seta, Tsukinowa-cho, Otsu, Shiga, 520-2192, Japan

    M. Yamasaki, A. Furukawa & K. Murata

  4. Department of Radiology, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, Tokyo, 105-8470, Japan

    R. Takei

Authors
  1. S. Suzuki
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  2. S. Furui
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  3. H. Kohtake
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  4. T. Sakamoto
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  5. M. Yamasaki
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  6. A. Furukawa
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  7. K. Murata
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  8. R. Takei
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Corresponding author

Correspondence to S. Suzuki.

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Suzuki, S., Furui, S., Kohtake, H. et al. Isolated dissection of the superior mesenteric artery. Abdom Imaging 29, 153–157 (2004). https://doi.org/10.1007/s00261-003-0110-2

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  • DOI: https://doi.org/10.1007/s00261-003-0110-2

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