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Reminder of important clinical lesson
CASE REPORT
Case of Segmental Arterial Mediolysis
  1. Maneka M Britto1,
  2. Matthew Lukies2,
  3. Charles Milne3,
  4. Timothy Joseph2,
  5. James C Lee1
  1. 1Department of General Surgery, Alfred Health, Melbourne, Victoria, Australia
  2. 2Department of Radiology, Alfred Health, Melbourne, Victoria, Australia
  3. 3Department of Vascular Surgery, Alfred Hospital, Melbourne, Victoria, Australia
  1. Correspondence to Dr Maneka M Britto, manekabritto{at}gmail.com

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.

  • interventional radiology
  • general surgery
  • vasculitis

https://doi.org/10.1136/bcr-2017-223731

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    Footnotes

    • Contributors All persons who meet authorship criteria are listed as authors, and all authors certify (as per submitted document) that they have participated sufficiently in the work to take public responsibility for the content. MMB: involved in the concept and design of the case. Carried out literature search. Involved in drafting the article and revising it for intellectual content. Involved in final approval of the version to be published. Is in agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved. ML: involved in the concept and design of the case. Involved in revising the article for its intellectual content. Involved in final approval of the version to be published. Is in agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved. CM: involved in the concept and design of the case. Involved in revising the article for its intellectual content. Involved in final approval of the version to be published. Is in agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved. TJ: involved in the concept and design of the case. Involved in revising the article for its intellectual content. Involved in final approval of the version to be published. Is in agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved. JCL: involved in the concept and design of the case. Involved in revising the article for its intellectual content. Involved in final approval of the version to be published. Is in agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.

    • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.