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Multiple abdominal artery dissections: how to distinguish two rare diseases
  1. Sara De Marchi1,
  2. Silvio Pianca1,
  3. Luca Ceriani2,3 and
  4. Pietro E Cippà1
  1. 1Division of Nephrology, Department of Medicine, Ente Ospedaliero Cantonale, Lugano, Ticino, Switzerland
  2. 2Imaging Institute of Southern Switzerland, Ente Ospedaliero Cantonale, Lugano, Ticino, Switzerland
  3. 3Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Ticino, Switzerland
  1. Correspondence to Dr Pietro E Cippà; pietro.cippa{at}


A 59-year-old woman was referred to the emergency room with acute abdominal pain. A CT scan revealed multiple dissections and microaneurysms of the superior mesenteric, the hepatic and the renal arteries. Stenting of the superior mesenteric artery was required. A non-invasive diagnostic procedure was instrumental to establish the diagnosis and guide appropriate treatment, which resulted in a rapid and sustained recovery.

  • radiology
  • interventional radiology
  • renal medicine
  • vasculitis

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  • Contributors SDM, SP, LC and PEC managed the clinical case and wrote the case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.