Early Detection of Superior Mesenteric Artery Dissection by Ultrasound: Two Case Reports

Superior mesenteric artery (SMA) dissection is a rare disease. Most of the cases are diagnosed through contrast-enhanced computed tomography. The use of emergent bedside ultrasound has been described to diagnose aortic dissection. However, evidence is limited regarding the use of bedside ultrasound for diagnosing SMA dissection, which is a known risk factor for aortic dissection. We present two case reports: one case of isolated SMA dissection and one case of SMA dissection complicated with aortic dissection. Both cases were initially diagnosed through bedside ultrasound and confirmed through contrast-enhanced computed tomography.

[1]  E. Stein,et al.  Internal carotid artery dissection and pseudoaneurysm formation with resultant ipsilateral hypoglossal nerve palsy , 2017, Radiology case reports.

[2]  Young-Wook Kim Current Understandings of Spontaneous Isolated Superior Mesenteric Artery Dissection , 2016, Vascular specialist international.

[3]  J. Kendall,et al.  Emergency bedside ultrasound diagnosis of superior mesenteric artery dissection complicating acute aortic dissection. , 2013, The Journal of emergency medicine.

[4]  W. Oppat,et al.  Spontaneous isolated superior mesenteric artery dissection: a case report and literature review with management algorithm. , 2009, Annals of vascular surgery.

[5]  S. Baldi,et al.  Endovascular management of a spontaneous dissecting aneurysm of the superior mesenteric artery: case report and discussion of treatment options. , 2009, Annals of vascular surgery.

[6]  M. Heymann,et al.  Superior mesenteric artery dissection: case report. , 2002, Journal of vascular surgery.

[7]  M. Perko Duplex ultrasound for assessment of superior mesenteric artery blood flow. , 2001, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[8]  R. Dinsmore,et al.  Dissecting aneurysm of the aorta: aortographic features affecting prognosis. , 1972, Radiology.

[9]  S. R. Bauersfeld Dissecting aneurysm of the aorta; a presentation of 15 cases and a review of the recent literature. , 1947, Annals of internal medicine.

[10]  K. Ultee,et al.  Clinical presentation, management, follow‐up, and outcomes of isolated celiac and superior mesenteric artery dissections , 2017, Journal of vascular surgery.

[11]  R. D. Lewis,et al.  Primary dissecting aneurysms of peripheral and pulmonary arteries: dissecting hemorrhage of media. , 1959, Archives of pathology.