Man with sudden upper abdominal pain

A 52-year-old man without systemic disease presented to the emergency department with sudden-onset epigastric pain for 2？h. He had vomiting for several times without fever, diarrhea, or recent abdominal trauma. Point-of-care ultrasound revealed flap in the superior mesenteric artery. Percutaneous endovascular stent placement was arranged due to refractory upper abdominal pain and poor response to medical treatment