Case of Segmental Arterial Mediolysis

BMJ Case Rep. 2018 Mar 13:2018:bcr2017223731. doi: 10.1136/bcr-2017-223731.

Abstract

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.

Keywords: general surgery; interventional radiology; vasculitis.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / diagnostic imaging
  • Abdominal Pain / etiology
  • Aged
  • Aneurysm, False / complications
  • Aneurysm, False / diagnostic imaging*
  • Aneurysm, False / therapy
  • Aneurysm, Ruptured
  • Angiography
  • Arteries / diagnostic imaging
  • Arteries / pathology*
  • Endovascular Procedures*
  • Female
  • Gastrointestinal Hemorrhage / diagnostic imaging*
  • Gastrointestinal Hemorrhage / etiology
  • Gastrointestinal Hemorrhage / therapy
  • Humans
  • Tomography, X-Ray Computed*
  • Treatment Outcome