We enjoyed reading the report by Kurosaki et al. on their experience with the left posterior approach to the superior mesenteric artery in a pancreaticoduodenectomy for pancreatic head cancer [1]. Since the retroportal lamina (containing lymphatic structures, small vessels and nerves) should be completely resected during a pancreaticoduodenectomy for pancreatic head cancer, dissection along the...

Although not common, acute leg ischemia is an important element in the clinical presentation of a patient with aortic dissection. This report describes a case of aortic dissection in which the main feature at presentation was acute right leg ischemia. The angiography showed right common iliac artery and external iliac artery occlusion. Diagnosis was made by clinical evaluation and angiography. ...

The patient's white blood cell (WBC) count was 17,000/μL (no left shift). Viral gastroenteritis was diagnosed by the ED physicians. Very mild right-sided weakness and occasional "pins and needles" sensations in the right leg were residual effects of a stroke the patient had suffered 9 years earlier. He also had hypercholesteremia, with a high low-density lipoprotein level and a low high-density...

Dissection of the visceral arteries happens infrequently, with the superior mesenteric artery being the most commonly affected. Isolated dissection of the celiac trunk is rare, and only a few cases have been reported in the medical literature. We report the case of a 51-year-old male who presented with abdominal pain and was subsequently diagnosed with a celiac trunk dissection with secondary p...

Spontaneous dissection of the superior mesenteric artery (SMA) is a rare condition. Here we report 2 cases of spontaneous SMA dissection causing acute abdomen. Bowel infarction did not occur in either case despite total occlusion or severe stenosis of the SMA;we successfully managed isolated SMA dissection without surgical intervention. Our nonoperative management regimen for spontaneous SMA di...

We report the case of a 57-year old man suffering from acute abdominal cramps. Abdominal computed tomography (CT) scanner revealed an isolated dissection of the superior mesenteric artery. The pain decreased within a few days under conservative treatment and monitoring by angioscans showed a stabilization of the dissection. This clinical case report is accompanied by a literature review on this...

A 51-year-old man with a ruptured pancreaticoduodenal artery (PDA) aneurysm caused by compression of the celiac artery by the median arcuate ligament and aortic dissection involving the celiac axis was transferred to our hospital for endovascular treatment. A 4-F catheter was advanced into the superior mesenteric artery through the narrow true lumen via the left brachial artery, and coil emboli...

A retrospective review of the multicenter IPSYS CeAD (Italian project on stroke in young adults cervical artery dissection) study was performed from January 2000 to June 2019. Of 1283 patients with spontaneous dissection, mean age 48 years, 545 were women (43%), and 103 (8%) had a diagnosis coexistent cerebrovascular fibromuscular dysplasia (FMD). More FMD women. history migraine intracranial a...

Aortic dissection is a rare disease with high morbidity and mortality, especially when involving multiorgan malperfusion such as lower extremity and visceral ischaemia. Revascularisation should be performed to restore perfusion immediately. We report a case of acute Stanford type B aortic dissection complicated by lower extremity, renal and superior mesenteric ischaemia. The right iliac artery ...