Zhang Y, Zhou JY, Liu J, Bai C. Diagnosis of spontaneous isolated superior mesenteric artery dissection with ultrasound: A case report. World J Clin Cases 2022; 10(17): 5717-5722 [PMID: 35979106 DOI: 10.12998/wjcc.v10.i17.5717]
Corresponding Author of This Article
Jian Liu, PhD, Department of Ultrasound, The First Affiliated Hospital of Chengdu Medical College, No. 278 Baoguang Avenue Middle Section, Xindu District, Chengdu 610599, Sichuan Province, China. liujiansh@126.com
Research Domain of This Article
Radiology, Nuclear Medicine & Medical Imaging
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 16, 2022; 10(17): 5717-5722 Published online Jun 16, 2022. doi: 10.12998/wjcc.v10.i17.5717
Diagnosis of spontaneous isolated superior mesenteric artery dissection with ultrasound: A case report
Yi Zhang, Jiang-Ying Zhou, Jian Liu, Chen Bai
Yi Zhang, Jiang-Ying Zhou, Jian Liu, Department of Ultrasound, The First Affiliated Hospital of Chengdu Medical College, Chengdu 610599, Sichuan Province, China
Chen Bai, Department of Radiology, The First Affiliated Hospital of Chengdu Medical College, Chengdu 610599, Sichuan Province, China
Author contributions: Zhang Y conceived and supervised the study; Zhang Y and Liu J designed experiments; Zhang Y and Bai C performed experiments; Zhang Y, Zhou JY and Bai C analyzed data; Zhang Y wrote the manuscript; Zhang Y and Liu J made manuscript revisions; All authors reviewed the results and approved the final version of the manuscript.
Informed consent statement: Informed consent was obtained from the patient for the publication of the imaging data and other clinical information. The patient understood that her identity would not be disclosed.
Conflict-of-interest statement: The authors have no potential conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jian Liu, PhD, Department of Ultrasound, The First Affiliated Hospital of Chengdu Medical College, No. 278 Baoguang Avenue Middle Section, Xindu District, Chengdu 610599, Sichuan Province, China. liujiansh@126.com
Received: October 21, 2021 Peer-review started: October 21, 2021 First decision: March 7, 2022 Revised: March 16, 2022 Accepted: April 15, 2022 Article in press: April 15, 2022 Published online: June 16, 2022 Processing time: 230 Days and 20.6 Hours
Abstract
BACKGROUND
Spontaneous isolated superior mesenteric artery dissection (SISMAD) is a rare disease that originates from the superior mesenteric artery, without the presence of aortic and other arterial dissections. Most cases are diagnosed using contrast-enhanced computed tomography (CECT), whereas the application of ultrasound is less common.
CASE SUMMARY
Here, we report a case of SISMAD with sudden epigastric pain that worsened as the main symptom after eating. The patient had a long history of hypertension with unknown blood pressure control but no history of smoking or alcohol consumption. This case was initially diagnosed using ultrasound and the results were later confirmed by CECT. After admission, the patient fasted, followed by parenteral nutrition support and fluid supplementation to maintain electrolyte and acid–base balance. Metoprolol succinate sustained-release tablets and aspirin were given as nonoperative treatments. After 1 wk, the symptoms improved, and the patient was discharged. During telephone follow-up, the patient did not develop similar symptoms.
CONCLUSION
Whether ultrasound can be used as a routine and noninvasive imaging method for the diagnosis of SISMAD needs further exploration.
Core tip: Spontaneous isolated superior mesenteric artery dissection is a rare disease. Contrast-enhanced computed tomography (CECT) is often the preferred diagnostic method for this disease. The initial diagnosis of this disease by ultrasound is rarely reported. Compared to CECT, ultrasound is a convenient, rapid, noninvasive, inexpensive and feasible bedside imaging method, which can be used to diagnose superior mesenteric artery dissection.
