case_images: PMC4929383_01
case_images: Doppler ultrasound of the superior mesenteric artery showing elevated peak systolic velocity of 375 cm/s corresponding to >70% stenosis.
case_images: crg-0010-0068-g01.jpg
case_images: PMC4929383_01_crg-0010-0068-g01.jpg
case_images: F1
case_images: Mesenteric vessel ultrasound demonstrated >70% stenoses in the coeliac and superior mesenteric (fig. 1) vessels, though as his symptoms abated again over the next 24 h the significance of these was initially unclear.
case_images: Three-dimensional CT reconstruction of the aorta and mesenteric vessels demonstrating 90% ostial stenosis in the coeliac artery (top arrow) and superior mesenteric artery (bottom arrow).
case_images: crg-0010-0068-g02.jpg
case_images: PMC4929383_01_crg-0010-0068-g02.jpg
case_images: F2
case_images: Mesenteric CT angiography demonstrated short 90% ostial stenoses of the coeliac and superior mesenteric arteries (fig. 2) as well as an occluded left common iliac artery.
case_images: Fluoroscopic image of the superior mesenteric artery with guidewire and self-expanding stent in situ.
case_images: crg-0010-0068-g03.jpg
case_images: PMC4929383_01_crg-0010-0068-g03.jpg
case_images: F3
case_images: Fluoroscopically guided balloon dilatation and insertion of 2 self-expanding stents (6-mm and 7-mm diameter) into the superior mesenteric artery over a guidewire was performed (fig. 3).