# Isolated Superior Mesenteric Arterial Dissection: A Rare Case

## TL;DR

This paper presents a rare case of isolated superior mesenteric artery dissection in a 51-year-old man successfully treated with conservative management.

## Contribution

The novelty lies in reporting a rare condition managed non-surgically with successful outcomes.

## Key findings

- A 51-year-old male presented with severe epigastric pain due to ISMAD.
- Conservative treatment with beta-blockers and anticoagulants was effective.
- Early diagnosis and management are critical to prevent life-threatening complications.

## Abstract

Isolated spontaneous superior mesenteric artery dissection (ISMAD) is an extremely rare condition with a wide range of vague clinical presentations. Notably, ISMAD is a very uncommon cause of abdominal pain and can be fatal, resulting in life-threatening complications. Therefore, this condition should not be missed and appropriately managed. Here, we report the case of a 51-year-old male presenting with severe epigastric pain who was found to have superior mesenteric artery dissection on a CT scan of the abdomen. He was managed successfully with a conservative approach, which included bowel rest, beta-blockers, and anticoagulants.