Publication:

A rare cause of acute abdominal pain: spontaneous isolated superior mesenteric artery dissection

Spontaneous isolated superior mesenteric artery dissection is an extremely rare nosological entity, usually occurring with acute abdominal pain. Authors present the case of a 56 - year - old female with spontaneous isolated SMA dissection who was admitted to the hospital with epigastric pain of acute onset. The patient was successfully managed nonoperatively, with anticoagulation starting immediately after diagnosis. Patient symptoms resolved after a few days. There is a discrepancy concerning the treatment of isolated SMA dissection.  Generally, if there is no intestinal necrosis or SMA rupture, conservative treatment is safe and effective as an initial approach.