Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 26, 2019; 7(20): 3276-3281
Published online Oct 26, 2019. doi: 10.12998/wjcc.v7.i20.3276
Spontaneous superior mesenteric artery dissection following upper gastrointestinal panendoscopy: A case report and literature review
Chih-Ming Ou Yang, Yu-Tong Yen, Chai-Hock Chua, Chin-Chu Wu, Kuan-En Chu, Tsung-I Hung
Chih-Ming Ou Yang, Tsung-I Hung, Department of General Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan
Yu-Tong Yen, Chai-Hock Chua, Department of Cardiovascular Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan
Chin-Chu Wu, Department of Radiology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan
Kuan-En Chu, Department of Internal Medicine, Division of Gastroenterology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan
Author contributions: Ou Yang CM and Chua CH were the patient’s attending physicians; Ou Yang CM and Yen YT contributed to the study concept and design; Ou Yang CM and Hung TI performed literature search; Ou Yang CM and Chu KE performed data acquisition; Ou Yang CM and Wu CC analyzed the data, interpreted the results, and provided administrative/technical/material support; Ou Yang CM and Hung TI contributed to manuscript writing; Ou Yang CM critically revised and gave final approval of the manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that there is no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016) and have prepared this report according to the CARE Checklist (2016).
Open-Access: 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/
Corresponding author: Tsung-I Hung, MD, Attending Doctor, Chief Doctor, Department of General Surgery, Shin Kong Wu Ho-Su Memorial Hospital, No. 95, Wen-Chang Road, Shi-Lin, Taipei 111, Taiwan. e47817@yahoo.com.tw
Telephone: +88-62-28332211 Fax: +88-62-28389404
Received: April 17, 2019
Peer-review started: April 17, 2019
First decision: June 10, 2019
Revised: August 13, 2019
Accepted: August 27, 2019
Article in press: August 27, 2019
Published online: October 26, 2019
Processing time: 192 Days and 1.9 Hours
Core Tip

Core tip: Although upper gastrointestinal panendoscopy is relatively safe and complications are uncommon, we encountered herein a rare case of post-procedure spontaneous superior mesenteric artery dissection (SMAD) in a middle-aged man. After panendoscopy, the patient experienced abdominal pain extending to back immediately and persisting for two weeks. Upon examination, there were no obvious physical or laboratory signs of organ perforation and peritonitis. SMAD was suspected and confirmed by contrast-enhanced CT of the abdomen. While the patient recovered without sequelae after being treated conservatively in the cardiovascular ward, SMAD is a potentially lethal condition and awareness of its association with panendoscopy is warranted.