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2026, Number 4

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Acta Med 2026; 24 (4)

Contribution of computed tomography angiography in the diagnosis of isolated dissection of the superior mesenteric artery

Morán LMA, Mora CJ, Austria FER, Flores MAG, Hernández JR, Mondragón JCM
Full text How to cite this article 10.35366/123510

DOI

DOI: 10.35366/123510
URL: https://dx.doi.org/10.35366/123510

Language: Spanish
References: 5
Page: 442-445
PDF size: 1879.52 Kb.


Key words:

superior mesenteric artery, arterial dissection, computed tomography angiography, intestinal ischemia.

ABSTRACT

Isolated superior mesenteric artery dissection (IDSMA) is a rare and serious pathology, mainly affecting middle-aged men, and is characterized by abdominal pain and signs of intestinal ischemia. We present the case of a 54-year-old man with oppressive abdominal pain, diagnosed with type 1 IDSMA by computed tomography angiography (CTA). The pathogenesis of this condition involves anatomical, genetic, traumatic factors, and systemic diseases, such as atherosclerosis. Although mortality is low, conservative treatment is effective in most cases, reserving stents and surgery for serious situations.


REFERENCES

  1. Jia Z, Mei J, Ding W, Zhao X, Gong W, Yu H et al. The pathogenesisof superior mesenteric artery dissection: an in-depth study basedon fluid-structure interaction and histology analysis. ComputMethods Programs Biomed. 2022; 226: 107187. doi: 10.1016/j.cmpb.2022.107187.

  2. Mei J, Jia Z. Isolated superior mesenteric artery dissection: Anupdated review of the literature. J Interv Med. 2023; 6 (2): 69-73.doi: 10.1016/j.jimed.2023.04.006.

  3. Wang CC, Sun YD, Wei XL, Jing ZP, Zhao ZQ. Advances in theclassification and treatment of isolated superior mesenteric arterydissection. Zhonghua Wai Ke Za Zhi. 2023; 61 (1): 81-85. doi:10.3760/cma.j.cn112139-20220516-00225.

  4. Hou L, Wang T, Wang J, Yuan D. Isolated superior mesenteric arterydissection in China: a systematic review and meta-analysis. Asian JSurg. 2022; 45 (4): 1070-1074. doi: 10.1016/j.asjsur.2022.01.062.

  5. Kobayashi Y, Yamaguchi H, Ando T, Tamai J, Yamamoto A, HayashiH et al. Management of asymptomatic spontaneous isolated superiormesenteric artery dissection and morphology features and variationson abdominal contrast-enhanced computed tomography: a singlecenterexperience. J Nippon Med Sch. 2024; 91 (5): 465-471. doi:10.1272/jnms.JNMS.2024_91-511.




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Acta Med. 2026;24