Chronic Left Gastric Artery and Acute Superior Mesenteric Artery Dissections During a Hypertensive Crisis
Department
Internal Medicine
Document Type
Article
Publication Title
Cureus
Abstract
Spontaneous visceral artery dissections are rare and poorly understood presentations. Isolated superior mesenteric artery (SMA) and left gastric artery (LGA) involvement is exceptionally uncommon. Concurrent dissections are exceedingly anomalous and diagnostically challenging. We present a 74-year-old man in hypertensive crisis with severe abdominal pain. Computed tomography angiography revealed a chronic LGA dissection with aneurysm and an SMA dissection. Despite high-risk vascular findings, he was stabilized with aggressive blood pressure control and antithrombotic therapy. This case highlights the importance of early imaging and management in patients who present in hypertensive crisis with abdominal pain out of proportion to examination.
First Page
e114979
DOI
10.7759/cureus.114979
Volume
18
Issue
8
Publication Date
8-1-2026
PubMed ID
42770127
Recommended Citation
Ivancev, V. D., O'Gara, C., Howard, S., Mohamed, T., & Hanafi, A. (2026). Chronic Left Gastric Artery and Acute Superior Mesenteric Artery Dissections During a Hypertensive Crisis. Cureus, 18 (8), e114979. https://doi.org/10.7759/cureus.114979