Spontaneous dissections of visceral arteries are rare, but when they do occur, they most
commonly involve the superior mesenteric artery (SMA). We present a case of intestinal
ischemia caused by a spontaneous dissection of the SMA in a patient with simultaneous
celiac artery occlusion. The patient was a 45-year-old woman who presented with intestinal
angina of sudden onset. Arteriography revealed the classic findings of SMA dissection and
occlusion of the celiac artery. The patient underwent repair of both visceral vessels and …