Case Report

A Spontaneous Isolated Superior Mesenteric Artery Dissection Associated with Cocaine Abuse: A Pathomechanistic Association

Figure 1

SISMAD within the proximal-to-mid SMA with a 3 cm segment along the proximal SMA with thrombosis of the false lumen extending craniocaudally; 70% stenosis of the proximal SMA; an intimal flap was seen intermittently below this level extending to the major bifurcations of the middle colic artery.