Gastroenterology & Hepatology Life Sciences & Biomedicine Science & Technology
Segmental arterial mediolysis (SAM) is a rare nonatherosclerotic and noninflammatory disease that often affects medium to large-sized arteries. We report a case of SAM involving bilateral hepatic arteries in an elderly woman. Although her initial presentation mimicked vasculitis, the clinical course and imaging led to the diagnosis of SAM. She was treated with coil embolization and stenting of the involved hepatic vessel leading to dramatic clinical improvement. It should be differentiated from vasculitis because there is no role of steroids in the management of SAM.
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Details
Title
An Unusual Presentation of Segmental Arterial Mediolysis
Creators
Rahul Karna - Allegheny Health Network
Dylan Kaye - Drexel University
Balaji Jagdish - Allegheny Health Network
Alexandra Johnston - Allegheny Health Network
Divya Venkat - Allegheny Health Network
Publication Details
ACG case reports journal, v 9(12), 00942
Publisher
Lippincott Williams & Wilkins
Number of pages
3
Resource Type
Journal article
Language
English
Academic Unit
College of Medicine; General Internal Medicine
Web of Science ID
WOS:000907811900002
Other Identifier
991021861195904721
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Collaboration types
Domestic collaboration
Web of Science research areas
Gastroenterology & Hepatology
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