Hepatic segmental arterial mediolysis: A case report and brief literature review
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...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-07-01
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| Series: | Clinical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ccr3.7668 |
| _version_ | 1797772068749574144 |
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| author | Ashbina Pokharel Ioannis Karageorgiou Sangam Shah Madhur Bhattarai Indira Acharya Judith Bateman |
| author_facet | Ashbina Pokharel Ioannis Karageorgiou Sangam Shah Madhur Bhattarai Indira Acharya Judith Bateman |
| author_sort | Ashbina Pokharel |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-12T21:45:41Z |
| format | Article |
| id | doaj.art-d383596e062047679e4df857d4b1a588 |
| institution | Directory Open Access Journal |
| issn | 2050-0904 |
| language | English |
| last_indexed | 2024-03-12T21:45:41Z |
| publishDate | 2023-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj.art-d383596e062047679e4df857d4b1a5882023-07-26T12:00:46ZengWileyClinical Case Reports2050-09042023-07-01117n/an/a10.1002/ccr3.7668Hepatic segmental arterial mediolysis: A case report and brief literature reviewAshbina Pokharel0Ioannis Karageorgiou1Sangam Shah2Madhur Bhattarai3Indira Acharya4Judith Bateman5Department of Internal Medicine William Beaumont University Hospital Royal Oak Michigan USADepartment of Internal Medicine William Beaumont University Hospital Royal Oak Michigan USATribhuwan University, Institute of Medicine Kathmandu NepalTribhuwan University, Institute of Medicine Kathmandu NepalDepartment of Internal Medicine, Medstar Union Memorial Hospital Baltimore Maryland USADepartment of Rheumatology William Beaumont University Hospital Royal Oak Michigan USAKey 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.https://doi.org/10.1002/ccr3.7668hepaticSAMsegmental arterial mediolysis |
| spellingShingle | Ashbina Pokharel Ioannis Karageorgiou Sangam Shah Madhur Bhattarai Indira Acharya Judith Bateman Hepatic segmental arterial mediolysis: A case report and brief literature review Clinical Case Reports hepatic SAM segmental arterial mediolysis |
| title | Hepatic segmental arterial mediolysis: A case report and brief literature review |
| title_full | Hepatic segmental arterial mediolysis: A case report and brief literature review |
| title_fullStr | Hepatic segmental arterial mediolysis: A case report and brief literature review |
| title_full_unstemmed | Hepatic segmental arterial mediolysis: A case report and brief literature review |
| title_short | Hepatic segmental arterial mediolysis: A case report and brief literature review |
| title_sort | hepatic segmental arterial mediolysis a case report and brief literature review |
| topic | hepatic SAM segmental arterial mediolysis |
| url | https://doi.org/10.1002/ccr3.7668 |
| work_keys_str_mv | AT ashbinapokharel hepaticsegmentalarterialmediolysisacasereportandbriefliteraturereview AT ioanniskarageorgiou hepaticsegmentalarterialmediolysisacasereportandbriefliteraturereview AT sangamshah hepaticsegmentalarterialmediolysisacasereportandbriefliteraturereview AT madhurbhattarai hepaticsegmentalarterialmediolysisacasereportandbriefliteraturereview AT indiraacharya hepaticsegmentalarterialmediolysisacasereportandbriefliteraturereview AT judithbateman hepaticsegmentalarterialmediolysisacasereportandbriefliteraturereview |