Abstract

A 41 -year-old male was seen with complaints of periumbilical pain and weight loss Physical examination, radiological and colonoscopic examinations were unremarkable upper endoscopy revealed aphthous ulcers of the antrum and duodenum at repeat endoscopy two weeks later the erosions had spontaneously healed. Mesenteric angiography revealed occlusion of the superior mesenteric artery and an aberrant right hepatic artery arising distal to the superior mesenteric stenosis A surgical revascularization procedure was performed at which time occlusion of the inferior mesenteric artery was documented. The patient is now 18 months post surgery and entirely asymptomatic.