Journal of Medical Case Reports (Mar 2010)

Spontaneous dissection of the superior mesenteric artery and the right hepatic artery: a case report

  • Morel Philippe,
  • Becker Christoph D,
  • Schwenter Frank,
  • Charbonnet Pierre,
  • Buchs Nicolas C,
  • Terraz Sylvain

DOI
https://doi.org/10.1186/1752-1947-4-87
Journal volume & issue
Vol. 4, no. 1
p. 87

Abstract

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Abstract Introduction Isolated spontaneous dissection of the superior mesenteric artery is a very rare condition. Endovascular stent placement has been proposed recently for selected cases, which has led to some good clinical results. Case presentation We report a case of spontaneous dissection of the superior mesenteric artery spreading to the origin of a right hepatic artery in a 48-year-old Chinese man. He benefited from the placement of an endovascular stent that yielded excellent results. Conclusion Endovascular stent placement is a good alternative treatment for dissection of the superior mesenteric artery. We propose an algorithm for the management of this rare condition.