PMC3794879_01
Coronal MIP reconstructions of CTA, revealing a segmental, occlusive acute embolism of the mid portion of SMA stem.
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SMA in one of our patients is shown on Figure 1. SMA proximally and distally from occlusion was of normal size in all three cases, suggesting embolism rather than thrombosis.
PMC3794879_02
Control angiography after third pass with Aspirex  showing patent SMA with extravasation of contrast medium due to a small branch rupture.
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The patient experienced acute pain and after angio-graphic confirmation of the rupture (Figure 2) embolization with coils sealed the rupture (Figure 3).
Control angiography after embolisation of ruptured branch with coils.
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The patient experienced acute pain and after angio-graphic confirmation of the rupture (Figure 2) embolization with coils sealed the rupture (Figure 3).
PMC3794879_03
Doppler US control 5 days after the treatment showing patent SMA.
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After a few days all patients underwent a colour Doppler ultrasound examination that confirmed patent SMA (Figure 4).
PMC3794879_04
Coronal MIP reconstructions of CTA 45 months after the treatment, revealing patent SMA and branches. Coils permanently occluded ruptured branch.
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Normally patent SMA with no symptoms or signs consistent with recurrence of acute mesenteric ischemia was observed (Figure 5).