Abstract
Isolated spontaneous superior mesenteric artery dissection (ISMAD) is an extremely rare condition with a wide range of vague clinical presentations. Notably, ISMAD is a very uncommon cause of abdominal pain and can be fatal, resulting in life-threatening complications. Therefore, this condition should not be missed and appropriately managed. Here, we report the case of a 51-year-old male presenting with severe epigastric pain who was found to have superior mesenteric artery dissection on a CT scan of the abdomen. He was managed successfully with a conservative approach, which included bowel rest, beta-blockers, and anticoagulants.