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Case Report Open Access

Acute superior mesenteric artery embolism: A case report

  • Authors:
    • Yinjiao Wang
    • Peng Du
  • View Affiliations / Copyright

    Affiliations: Department of Radiology, The Second Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu 221000, P.R. China
    Copyright: © Wang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 5
    |
    Published online on: October 29, 2024
       https://doi.org/10.3892/etm.2024.12755
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Abstract

The incidence rate of superior mesenteric artery embolism (SMAE) is low and its mortality rate is high due to its rapid onset and progression. Due to its clinical manifestations being similar to other acute abdominal diseases, such as gastrointestinal perforation, acute appendicitis and acute pancreatitis, its misdiagnosis rate can reach 75‑90%. Reducing the mortality rate of this disease is dependent upon an early diagnosis and timely surgical intervention. In the present case report, the diagnosis and treatment process of a female patient aged 83 years with SMAE were reported. The patient recovered well following timely and effective intervention. The patient was admitted due to acute abdominal pain, and computed tomography angiography (CTA) examination showed filling defect in the superior mesenteric artery (SMA). The patient was diagnosed with SMAE and underwent emergency surgical treatment for a thrombectomy and thrombolysis of the SMA under general anesthesia. After surgery, recanalization of the SMA was achieved. The patient was followed up six months later, and SMA CTA revealed that the main trunk and branches of the SMA were well visualized. In addition, relevant literature was reviewed to improve the understanding and treatment of SMAE among clinicians. If patients experience severe abdominal pain that cannot be relieved by antispasmodic drugs, SMAE should be suspected. Patients with history of atrial fibrillation, valvular heart disease and atherosclerosis need further examination. At present, there is a lack of highly sensitive and specific serological indicators. CTA can provide a diagnosis with high sensitivity and specificity.
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Copy and paste a formatted citation
Spandidos Publications style
Wang Y and Du P: Acute superior mesenteric artery embolism: A case report. Exp Ther Med 29: 5, 2025.
APA
Wang, Y., & Du, P. (2025). Acute superior mesenteric artery embolism: A case report. Experimental and Therapeutic Medicine, 29, 5. https://doi.org/10.3892/etm.2024.12755
MLA
Wang, Y., Du, P."Acute superior mesenteric artery embolism: A case report". Experimental and Therapeutic Medicine 29.1 (2025): 5.
Chicago
Wang, Y., Du, P."Acute superior mesenteric artery embolism: A case report". Experimental and Therapeutic Medicine 29, no. 1 (2025): 5. https://doi.org/10.3892/etm.2024.12755
Copy and paste a formatted citation
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Spandidos Publications style
Wang Y and Du P: Acute superior mesenteric artery embolism: A case report. Exp Ther Med 29: 5, 2025.
APA
Wang, Y., & Du, P. (2025). Acute superior mesenteric artery embolism: A case report. Experimental and Therapeutic Medicine, 29, 5. https://doi.org/10.3892/etm.2024.12755
MLA
Wang, Y., Du, P."Acute superior mesenteric artery embolism: A case report". Experimental and Therapeutic Medicine 29.1 (2025): 5.
Chicago
Wang, Y., Du, P."Acute superior mesenteric artery embolism: A case report". Experimental and Therapeutic Medicine 29, no. 1 (2025): 5. https://doi.org/10.3892/etm.2024.12755
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