Segmental Arterial Mediolysis

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A rare case of segmental arterial mediolysis

Segmental arterial mediolysis (SAM) is a presumably vasospastic disorder [1]. SAM commonly involves large to medium sized intraabdominal, cerebral and rarely coronary arteries. In 1943, Kernohan and Woltman described arteries with features of SAM in the posterior circulation of the brain for the first time [2]. The first case of SAM was presented in 1976 by Slavin and Gonzalez [3]. At first the...

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Segmental arterial mediolysis mimics systemic vasculitis.

Segmental arterial mediolysis (SAM) is a rare, nonarteriosclerotic, noninflammatory vascular disease and mostly affects medium-to-large sized abdominal arteries as well as presents with hemorrhages in the abdominal cavity. We report the case of a patient with SAM of the celiac, right renal, jejunal branch of the superior mesenteric, left gastric, and splenic arteries who was diagnosed by exclud...

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Fatal hemoperitoneum due to segmental arterial mediolysis

Spontaneous hemoperitoneum due to vascular injury is a life-threatening condition mostly associated with aortic or splanchnic arterial disease, which stems from atherosclerotic, inflammatory, or infectious origin. However, in 1976, Slavin and Gonzales described a nonatherosclerotic arterial disease that may render aneurysmal formation predominantly in the splanchnic arterial bed. The clinical p...

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Visceral ischemia: could it be segmental arterial mediolysis.

We present two cases of segmental arterial mediolysis, which can present with dissecting aneurysms or thrombosis of the visceral branches of the abdominal aorta. Segmental arterial mediolysis (SAM) causes ischemic bowel disease and has characteristic CT and angiographic features.

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A case report of segmental arterial mediolysis in which computed tomography angiography was useful for diagnosis

A 48-year-old male presented to our hospital with abdominal pain. Laboratory studies showed no abnormality, the severity of his abdominal pain decreased, and the patient was discharged. Five days later, the patient visited a neighborhood clinic because of fever with a 3-day history of temperatures of approximately 38 °C. The patient was admitted to our hospital 6 days after his initial visit. L...

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ژورنال

عنوان ژورنال: Journal of the Belgian Society of Radiology

سال: 2021

ISSN: 2514-8281

DOI: 10.5334/jbsr.2470