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

Abstract Background The 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. P...

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Autores principales:	Qian Feng, Jingrun Zhao, Lina Zang, Yuanyuan Chen, Senlin Li
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Isolated superior mesenteric artery dissection Abdominal pain Delivery Case report Diseases of the digestive system. Gastroenterology RC799-869
Acceso en línea:	https://doaj.org/article/4a4b251741e445aca087ea6fb1de8bef
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spelling	oai:doaj.org-article:4a4b251741e445aca087ea6fb1de8bef2021-11-14T12:16:49ZA case report of an isolated superior mesenteric artery dissection caused by childbirth10.1186/s12876-021-01994-01471-230Xhttps://doaj.org/article/4a4b251741e445aca087ea6fb1de8bef2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12876-021-01994-0https://doaj.org/toc/1471-230XAbstract Background The 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 presentation A 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. Conclusions SMAD is a rare and sporadic cause of acute abdominal pain that occurs in young women after delivery.Qian FengJingrun ZhaoLina ZangYuanyuan ChenSenlin LiBMCarticleIsolated superior mesenteric artery dissectionAbdominal painDeliveryCase reportDiseases of the digestive system. GastroenterologyRC799-869ENBMC Gastroenterology, Vol 21, Iss 1, Pp 1-4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Isolated superior mesenteric artery dissection Abdominal pain Delivery Case report Diseases of the digestive system. Gastroenterology RC799-869
spellingShingle	Isolated superior mesenteric artery dissection Abdominal pain Delivery Case report Diseases of the digestive system. Gastroenterology RC799-869 Qian Feng Jingrun Zhao Lina Zang Yuanyuan Chen Senlin Li A case report of an isolated superior mesenteric artery dissection caused by childbirth
description	Abstract Background The 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 presentation A 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. Conclusions SMAD is a rare and sporadic cause of acute abdominal pain that occurs in young women after delivery.
format	article
author	Qian Feng Jingrun Zhao Lina Zang Yuanyuan Chen Senlin Li
author_facet	Qian Feng Jingrun Zhao Lina Zang Yuanyuan Chen Senlin Li
author_sort	Qian Feng
title	A case report of an isolated superior mesenteric artery dissection caused by childbirth
title_short	A case report of an isolated superior mesenteric artery dissection caused by childbirth
title_full	A case report of an isolated superior mesenteric artery dissection caused by childbirth
title_fullStr	A case report of an isolated superior mesenteric artery dissection caused by childbirth
title_full_unstemmed	A case report of an isolated superior mesenteric artery dissection caused by childbirth
title_sort	case report of an isolated superior mesenteric artery dissection caused by childbirth
publisher	BMC
publishDate	2021
url	https://doaj.org/article/4a4b251741e445aca087ea6fb1de8bef
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A case report of an isolated superior mesenteric artery dissection caused by childbirth

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