Affiliation:
1. Tokyo Bay Urayasu Ichikawa. Department of General Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu-City, Chiba, Japan
2. Department of General Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu-City, Chiba, Japan
Abstract
AbstractIsolated superior mesenteric artery dissection (ISMAD) is rare, with symptoms ranging from asymptomatic to acute intestinal ischemia. Risk factors for ISMAD include hypertension, atherosclerosis, abnormal elastic fibers, and pregnancy. In the present case, blunt trauma, which has not been previously reported, was suggested as a risk factor. A 46-year-old man was brought to the emergency room after he was found unconscious after a motor vehicle collision. At presentation, he had no abdominal symptoms; however, on the fourth day of admission, he presented with severe abdominal pain and vomiting. A contrast-enhanced computed tomography scan revealed an ISMAD with associated intestinal ischemia and necrosis; hence, emergency surgery was performed. Herein, we report a case of ISMAD caused by blunt abdominal trauma.