A case report of an isolated superior mesenteric artery dissection caused by childbirth

Qian Feng,Senlin Li,Yuanyuan Chen,Lina Zang,Jingrun Zhao

doi:10.1186/s12876-021-01994-0

Qian Feng, Senlin Li + Show 3 more

Open Access

https://doi.org/10.1186/s12876-021-01994-0

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Journal: BMC gastroenterology	Publication Date: Nov 13, 2021
Citations: 1	License type: open-access

Affiliation: Liaocheng People's Hospital

Abstract

BackgroundThe isolated superior mesenteric artery dissection (SMAD) is a rare and sporadic cause of acute abdominal pain. It most frequently affects male patients in their fifth to sixth decades, while our patient was a young woman who delivered a baby before the onset of abdominal pain. Possible risk factors for SMAD include hypertension, arteriosclerosis, abnormalities in elastic fibres, trauma, and pregnancy. In our case, delivery was suggested as a risk factor, which has not been reported previously.Case presentationA 27-year-old woman complained of acute severe upper abdominal pain and vomiting for 2 days after delivery. The patient had no significant medical history. Physical examination revealed epigastric mild tenderness. All routine blood tests, blood coagulation analysis, liver function tests and abdomen computed tomography showed no remarkable findings. Computed tomography angiography revealed a marked dissection 3.5 cm below the superior mesenteric artery ostium. Since distal blood flow existed and the patient was in a puerperal state with no evidences of mesenteric ischemia, she was managed conservatively, including intestinal rest by fasting, parenteral nutritional support and antibioticis, without anticoagulants or antiplatelet agents. Fortunately, she recovered smoothly and had no recurrence.ConclusionsSMAD is a rare and sporadic cause of acute abdominal pain that occurs in young women after delivery.

Highlights

The isolated superior mesenteric artery dissection (SMAD) is a rare and sporadic cause of acute abdominal pain
SMAD is a rare and sporadic cause of acute abdominal pain that occurs in young women after delivery
Isolated superior mesenteric artery dissection (SMAD) has been anecdotally reported as a rare and sporadic cause of acute abdominal pain, with an incidence of approximately 0.06% according to postmortem investigations [1]

Summary

Introduction

The isolated superior mesenteric artery dissection (SMAD) is a rare and sporadic cause of acute abdominal pain. Conclusions: SMAD is a rare and sporadic cause of acute abdominal pain that occurs in young women after delivery. Background Isolated superior mesenteric artery dissection (SMAD) has been anecdotally reported as a rare and sporadic cause of acute abdominal pain, with an incidence of approximately 0.06% according to postmortem investigations [1].

Results

Conclusion