Hepatic segmental arterial mediolysis: A case report and brief literature review.

Document Type

Article

Publication Date

7-10-2023

Publication Title

Clinical case reports

Abstract

KEY CLINICAL MESSAGE: When evaluating patients with abdominal pain, it is important to consider SAM in the differential diagnosis, along with vasculitis, fibromuscular dysplasia (FMD), atherosclerosis, mycotic aneurysms, and cystic medial degeneration.

ABSTRACT: Segmental arterial mediolysis (SAM) is a rare arteriopathy which is an under-recognized and commonly missed diagnosis of abdominal pain. We report a case of a 58-year-old female who presented with abdominal pain and was misdiagnosed with a urinary tract infection. The diagnosis was made with CTA and managed with embolization. Despite appropriate intervention and close hospital monitoring, further complications were inevitable. We conclude that though literature has shown better prognosis and even complete resolution after medical and/or surgical intervention, close follow up and monitoring is needed to avoid unexpected complications.

Volume

11

Issue

7

First Page

e7668

DOI

10.1002/ccr3.7668

ISSN

2050-0904

PubMed ID

37434956

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