Segmental arterial mediolysis mimics systemic vasculitis

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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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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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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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Segmental arterial mediolysis, a vasculitis mimic: Case report and review of literature

Segmental Arterial Mediolysis (SAM) is a non-inflammatory vascular condition that most commonly affects the medium sized vessels in the abdomen including splanchanic and renal arteries. Its angiographic appearance closely mimics other conditions affecting these blood vessels, such as polyarteritis nodosa (PAN), infections such as syphilis and fibromuscular dysplasia. SAM is under-recognized, ho...

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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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ژورنال

عنوان ژورنال: European Journal of Rheumatology

سال: 2016

ISSN: 2147-9720,2148-4279

DOI: 10.5152/eurjrheum.2015.0047