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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Veröffentlicht in:	BMJ case reports 2018-03, Vol.2018, p.bcr-2017-223731
Hauptverfasser:	Britto, Maneka M, Lukies, Matthew, Milne, Charles, Joseph, Timothy, Lee, James C
Format:	Artikel
Sprache:	eng
Schlagworte:	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
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Zusammenfassung:	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.
ISSN:	1757-790X 1757-790X
DOI:	10.1136/bcr-2017-223731