Superior mesenteric artery dissection

Case contributed by Chris O'Donnell
Diagnosis certain

Presentation

Sudden central abdominal pain

Patient Data

Age: 70 years
Gender: Male

Typical features of localized arterial dissection with resultant aneurysmal dilatation of the superior mesenteric artery. Both true and false lumens enhance producing a "double barrel" lumen. This lesion seems to have occurred on the basis of underlying atherosclerosis as there is typical intimal calcification in the arterial wall.

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