{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T17:50:33Z","timestamp":1769277033123,"version":"3.49.0"},"reference-count":9,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2022,11,3]],"date-time":"2022-11-03T00:00:00Z","timestamp":1667433600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>The superior mesenteric artery (SMA) is more commonly occluded than other abdominal arteries due to anatomical factors. Though rare, SMA occlusion is life-threatening. We present the case of a 50-year-old male patient who presented with fever and abdominal pain and was subsequently diagnosed with SMA embolism, SMA mycotic aneurysm, and infective endocarditis. Many patients visit the emergency room complaining of abdominal pain. Although SMA occlusion diagnosis is rare in these cases, detailed examination and close monitoring of patients are warranted considering the high mortality rate of this disease.<\/jats:p>","DOI":"10.3390\/medicina58111585","type":"journal-article","created":{"date-parts":[[2022,11,3]],"date-time":"2022-11-03T04:49:20Z","timestamp":1667450960000},"page":"1585","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Superior Mesenteric Artery Occlusion Caused by Infective Endocarditis and Worsened by Mycotic Aneurysm and Intracranial Hemorrhage: A Case Report"],"prefix":"10.3390","volume":"58","author":[{"given":"Changho","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, School of Medicine, Kyungpook National University, 680, Gukchaebosang-ro, Jung-gu, Daegu 41944, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tak-Hyuk","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Thoracic & Cardiovascular Surgery, Kyungpook National University Chilgok Hospital, Daegu 41404, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1186\/s13017-017-0150-5","article-title":"Acute mesenteric ischemia: Guidelines of the World Society of Emergency Surgery","volume":"12","author":"Bala","year":"2017","journal-title":"World J. Emerg. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1053\/bega.2000.0157","article-title":"Acute intestinal ischaemia","volume":"15","author":"Lock","year":"2001","journal-title":"Best Pract. Res. Clin. Gastroenterol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"bcr2013009741","DOI":"10.1136\/bcr-2013-009741","article-title":"Acute mesenteric ischaemia with infective endocarditis: Is there a role for anticoagulation?","volume":"2013","author":"Waqas","year":"2013","journal-title":"BMJ Case Rep."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1052","DOI":"10.1093\/icvts\/ivs365","article-title":"What size of vegetation is an indication for surgery in endocarditis?","volume":"15","author":"Okonta","year":"2012","journal-title":"Interact. Cardiovasc. Thorac. Surg."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"773","DOI":"10.20452\/pamw.837","article-title":"The European Society of Cardiology 2009 guidelines on the prevention, diagnosis, and treatment of infective endocarditis: Key messages for clinical practice","volume":"119","author":"Harrison","year":"2009","journal-title":"Pol. Arch. Med. Wewn."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1177\/153857440303700108","article-title":"Diagnosis and management of aneurysms involving the superior mesenteric artery and its branches\u2014A report of four cases","volume":"37","author":"Lorelli","year":"2003","journal-title":"Vasc. Endovasc. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.jvs.2005.06.038","article-title":"Mycotic superior mesenteric aneurysm","volume":"45","author":"Lai","year":"2007","journal-title":"J. Vasc. Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"2298","DOI":"10.3748\/wjg.v16.i18.2298","article-title":"Diagnosis of ruptured superior mesenteric artery aneurysm mimicking a pancreatic mass","volume":"16","author":"Palmucci","year":"2010","journal-title":"World J. Gastroenterol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1177\/1538574415627867","article-title":"Superior mesenteric artery aneurysm caused by aortic valve endocarditis: The case report and review of the literature","volume":"50","author":"Mottini","year":"2016","journal-title":"Vasc. Endovasc. Surg."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/58\/11\/1585\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:09:47Z","timestamp":1760144987000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/58\/11\/1585"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,3]]},"references-count":9,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2022,11]]}},"alternative-id":["medicina58111585"],"URL":"https:\/\/doi.org\/10.3390\/medicina58111585","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,3]]}}}