Case of Segmental Arterial Mediolysis

Segmental arterial mediolysis (SAM) is a rare, non-inflammatory, vascular condition that predominantly affects medium-sized to large-sized abdominal arteries and can present with haemorrhage into the abdominal cavity. We report the case of a patient with SAM of the coeliac, splenic, renal and gastro...

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Bibliographic Details
Published inBMJ case reports Vol. 2018; p. bcr-2017-223731
Main Authors Britto, Maneka M, Lukies, Matthew, Milne, Charles, Joseph, Timothy, Lee, James C
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 13.03.2018
BMJ Publishing Group
SeriesCase Report
Subjects
Abdomen
Abdominal Pain - diagnostic imaging
Abdominal Pain - etiology
Accuracy
Aged
Aneurysm, False - complications
Aneurysm, False - diagnostic imaging
Aneurysm, False - therapy
Aneurysm, Ruptured
Aneurysms
Angiography
Arteries - diagnostic imaging
Arteries - pathology
Blood pressure
Case reports
Dissection
Endovascular Procedures
Female
Gastrointestinal Hemorrhage - diagnostic imaging
Gastrointestinal Hemorrhage - etiology
Gastrointestinal Hemorrhage - therapy
Humans
Medical imaging
Pain
Reminder of Important Clinical Lesson
Rheumatology
Tomography, X-Ray Computed
Treatment Outcome
Vein & artery diseases
general surgery
vasculitis
interventional radiology
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Summary:Segmental arterial mediolysis (SAM) is a rare, non-inflammatory, vascular condition that predominantly affects medium-sized to large-sized abdominal arteries and can present with haemorrhage into the abdominal cavity. We report the case of a patient with SAM of the coeliac, splenic, renal and gastroduodenal arteries in whom endovascular coil embolisation was successfully used to treat a bleeding gastroduodenal artery pseudoaneurysm.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2017-223731