Hepatic segmental arterial mediolysis: A case report and brief literature review.
Hepatic segmental arterial mediolysis: A case report and brief literature review.
- 2023
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. Copyright © 2023 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. 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.
English
2050-0904
10.1002/ccr3.7668 [doi] CCR37668 [pii] PMC10332256 [pmc]
--Automated
MedStar Union Memorial Hospital
Internal Medicine Residency
Case Reports
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. Copyright © 2023 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. 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.
English
2050-0904
10.1002/ccr3.7668 [doi] CCR37668 [pii] PMC10332256 [pmc]
--Automated
MedStar Union Memorial Hospital
Internal Medicine Residency
Case Reports