EURORAD ESR

Case 12555

A rare case of isolated dissection of the superior mesenteric artery

Author(s)
Saravana Kumar S, Sekhar K.S, Malathi V, Parveen Sulthana M .

Billroth hospitals,
Department of Radiology,
Lakshmi talkies road,
Shenoy nagar,
Chennai 600 030, India;
Email:drspjkmc@gmail.com
 
Patient
male, 57 year(s)
 
 
  • Figure 1
    Axial contrast-enhanced CT images

    Selected serial axial CT sections showing the intimal flap in the SMA with a short segment of patent false lumen and thrombosis distal to it.

     
    Area of Interest: Arteries / Aorta; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Dissection;
     
     
  • Figure 2
    Axial contrast-enhanced CT image

    Axial CT image showing the intimal dissection flap in the superior mesenteric artery.

     
    Area of Interest: Arteries / Aorta; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Dissection;
     
     
  • Figure 3
    Sagittal reformatted CT image
     

    Dissection of superior mesenteric artery with a short pouch like false lumen and thrombosis of the rest of the false lumen. No definite re-entry point is seen.

     
    Area of Interest: Vascular; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Dissection;

    Dissection of superior mesenteric artery with a short pouch like false lumen and thrombosis of the rest of the false lumen. No definite re-entry point is seen.

     
    Area of Interest: Abdomen; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Dissection;
     
     
  • Figure 4
    Volume-rendered CT images
     

    Superior mesenteric artery dissection with true and false lumen.

     
    Area of Interest: Abdomen; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Dissection;

    Superior mesenteric artery dissection with true and false lumen.

     
    Area of Interest: Abdomen; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Dissection;

    Superior mesenteric artery dissection with true and false lumen.

     
    Area of Interest: Abdomen; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Dissection;
     
     
  • Figure 5
    Coronal reformatted CT images
     

    Prominent superior mesenteric artery with the dissection flap.

     
    Area of Interest: Arteries / Aorta; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Dissection;

    Prominent superior mesenteric artery with the dissection flap.

     
    Area of Interest: Arteries / Aorta; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Dissection;

    Prominent superior mesenteric artery with dissection and thrombosed false lumen.

     
    Area of Interest: Arteries / Aorta; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Dissection;

    Prominent superior mesenteric artery with dissection and thrombosed false lumen.

     
    Area of Interest: Arteries / Aorta; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Dissection;
     
     
  • Figure 6
    Coronal contrast-enhanced CT images

    Cine images showing the dissection in superior mesenteric artery with false and true lumen.

     
    Area of Interest: Arteries / Aorta; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Dissection;
     
     
Selected serial axial CT sections showing the intimal flap in the SMA with a short segment of patent false lumen and thrombosis distal to it.
 
Axial CT image showing the intimal dissection flap in the superior mesenteric artery.
 
Dissection of superior mesenteric artery with a short pouch like false lumen and thrombosis of the rest of the false lumen. No definite re-entry point is seen.
 
Dissection of superior mesenteric artery with a short pouch like false lumen and thrombosis of the rest of the false lumen. No definite re-entry point is seen.
 
Superior mesenteric artery dissection with true and false lumen.
 
Superior mesenteric artery dissection with true and false lumen.
 
Superior mesenteric artery dissection with true and false lumen.
 
Prominent superior mesenteric artery with the dissection flap.
 
Prominent superior mesenteric artery with the dissection flap.
 
Prominent superior mesenteric artery with dissection and thrombosed false lumen.
 
Prominent superior mesenteric artery with dissection and thrombosed false lumen.
 
Cine images showing the dissection in superior mesenteric artery with false and true lumen.
 
 
 
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