000 02201nam a22003737a 4500
008 230815s20232023 xxu||||| |||| 00| 0 eng d
022 _a2050-0904
024 _a10.1002/ccr3.7668 [doi]
024 _aCCR37668 [pii]
024 _aPMC10332256 [pmc]
040 _aOvid MEDLINE(R)
099 _a37434956
245 _aHepatic segmental arterial mediolysis: A case report and brief literature review.
251 _aClinical Case Reports. 11(7):e7668, 2023 Jul.
252 _aClin Case Rep. 11(7):e7668, 2023 Jul.
253 _aClinical case reports
260 _c2023
260 _fFY2024
260 _p2023 Jul
265 _sepublish
265 _tPubMed-not-MEDLINE
266 _d2023-08-15
520 _aAbstract: 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.
520 _aKey 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.
546 _aEnglish
650 _zAutomated
651 _aMedStar Union Memorial Hospital
656 _aInternal Medicine Residency
657 _aCase Reports
700 _aAcharya, Indira
_bMUMH
_cInternal Medicine Residency
_dMBBS
_eResident PGY 2
790 _aAcharya I, Bateman J, Bhattarai M, Karageorgiou I, Pokharel A, Shah S
856 _uhttps://dx.doi.org/10.1002/ccr3.7668
_zhttps://dx.doi.org/10.1002/ccr3.7668
942 _cART
_dArticle
999 _c13079
_d13079