A Case of Spontaneous Isolated Superior Mesenteric Artery Dissection in a Patient With Celiacomesenteric Trunk Anomaly

Celiacomesentric trunk (CMT) is a rare vascular anomaly with a common origin for the celiac artery and superior mesenteric artery. To our knowledge, this is the first case of superior mesenteric artery (SMA) dissection in patients with CMT. Here, we discuss a case of a 65-year-old male with acute-on...

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Main Authors: Guru Prasad Parthiban, Vishal Busa, Sowbharnika Arivazhagan, Chaitra Janga
Format: Article
Language:English
Published: American College of Physicians 2022-10-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2022.0350
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author Guru Prasad Parthiban
Vishal Busa
Sowbharnika Arivazhagan
Chaitra Janga
author_facet Guru Prasad Parthiban
Vishal Busa
Sowbharnika Arivazhagan
Chaitra Janga
author_sort Guru Prasad Parthiban
collection DOAJ
description Celiacomesentric trunk (CMT) is a rare vascular anomaly with a common origin for the celiac artery and superior mesenteric artery. To our knowledge, this is the first case of superior mesenteric artery (SMA) dissection in patients with CMT. Here, we discuss a case of a 65-year-old male with acute-onset epigastric pain who was found to have SMA dissection with CMT. He was treated conservatively with symptomatic improvement. Diagnostic imaging studies include computed tomography (CT) scanning of the abdomen with or without contrast and CT angiography. Management options include a conservative approach, endovascular repair, and surgical management based on the classification/location of the dissection.
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publisher American College of Physicians
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series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-15b4fb0c2d0d4e7a98eac887a9df9abd2025-08-20T02:27:23ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642022-10-011810.7326/aimcc.2022.0350A Case of Spontaneous Isolated Superior Mesenteric Artery Dissection in a Patient With Celiacomesenteric Trunk AnomalyGuru Prasad Parthiban0Vishal Busa1Sowbharnika Arivazhagan2Chaitra Janga31Baton Rouge General Medical Center, Baton Rouge, Louisiana1Baton Rouge General Medical Center, Baton Rouge, Louisiana1Baton Rouge General Medical Center, Baton Rouge, Louisiana2Jefferson Health-Abington, Abington, PennsylvaniaCeliacomesentric trunk (CMT) is a rare vascular anomaly with a common origin for the celiac artery and superior mesenteric artery. To our knowledge, this is the first case of superior mesenteric artery (SMA) dissection in patients with CMT. Here, we discuss a case of a 65-year-old male with acute-onset epigastric pain who was found to have SMA dissection with CMT. He was treated conservatively with symptomatic improvement. Diagnostic imaging studies include computed tomography (CT) scanning of the abdomen with or without contrast and CT angiography. Management options include a conservative approach, endovascular repair, and surgical management based on the classification/location of the dissection.https://www.acpjournals.org/doi/10.7326/aimcc.2022.0350
spellingShingle Guru Prasad Parthiban
Vishal Busa
Sowbharnika Arivazhagan
Chaitra Janga
A Case of Spontaneous Isolated Superior Mesenteric Artery Dissection in a Patient With Celiacomesenteric Trunk Anomaly
Annals of Internal Medicine: Clinical Cases
title A Case of Spontaneous Isolated Superior Mesenteric Artery Dissection in a Patient With Celiacomesenteric Trunk Anomaly
title_full A Case of Spontaneous Isolated Superior Mesenteric Artery Dissection in a Patient With Celiacomesenteric Trunk Anomaly
title_fullStr A Case of Spontaneous Isolated Superior Mesenteric Artery Dissection in a Patient With Celiacomesenteric Trunk Anomaly
title_full_unstemmed A Case of Spontaneous Isolated Superior Mesenteric Artery Dissection in a Patient With Celiacomesenteric Trunk Anomaly
title_short A Case of Spontaneous Isolated Superior Mesenteric Artery Dissection in a Patient With Celiacomesenteric Trunk Anomaly
title_sort case of spontaneous isolated superior mesenteric artery dissection in a patient with celiacomesenteric trunk anomaly
url https://www.acpjournals.org/doi/10.7326/aimcc.2022.0350
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