Segmental arterial mediolysis in splanchnic arteries: an uncommon cause of abdominal pain
Segmental arterial mediolysis is an uncommon arterial disease that primarily involves splanchnic arteries; abdominal pain is the most common clinical manifestation. We report the case of a 53-year-old male with postprandial diffuse abdominal pain of one month's standing. Physical examination wa...
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| Veröffentlicht in: | Revista española de enfermedades digestivas 2019-07, Vol.111 (7), p.571 |
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| container_title | Revista española de enfermedades digestivas |
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| creator | Sánchez Melgarejo, José Francisco Fernández Llamas, Tania Pons Miñano, José Antonio |
| description | Segmental arterial mediolysis is an uncommon arterial disease that primarily involves splanchnic arteries; abdominal pain is the most common clinical manifestation. We report the case of a 53-year-old male with postprandial diffuse abdominal pain of one month's standing. Physical examination was uneventful, and laboratory tests revealed no abnormal findings. Abdominopelvic CT/Angio-CT showed an increased caliber of the superior mesenteric artery resulting from eccentric circumferential wall thickening. The patent lumen had a segment with fusiform aneurysmal dilatation, 7 x 26 mm long. These vascular changes extended along a number of distal jejunal branches, which also presented complete lumen obliteration. Abdominal arteries were free from signs of arteriosclerotic disease. Findings were consistent with segmental arterial mediolysis. |
| doi_str_mv | 10.17235/reed.2019.6128/2018 |
| format | Article |
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| ispartof | Revista española de enfermedades digestivas, 2019-07, Vol.111 (7), p.571 |
| issn | 1130-0108 |
| language | eng ; spa |
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| source | DOAJ Directory of Open Access Journals; EZB Electronic Journals Library |
| subjects | Arteries CAT scans Editors Immunoglobulin G Medical examination Tomography |
| title | Segmental arterial mediolysis in splanchnic arteries: an uncommon cause of abdominal pain |
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