Segmental Arterial Mediolysis and its Mimickers : A Case Report and Review of the Literature
© EFIM 2023..
This case report addresses segmental arterial mediolysis (SAM), a rare non-inflammatory vasculopathy. A 51-year-old man presented at the emergency department for epigastric and left upper quadrant pain. He had a history of arterial hypertension and had recently received methylprednisolone for knee pain. Blood tests revealed elevated C-reactive protein levels at 40 mg/l and lactate dehydrogenase levels at 496 IU/ml. Abdominal computerized tomography showed arterial thickening, arterial dilatations, and dissections of the splenic and renal arteries, leading to organ ischemia. This case emphasizes the importance of considering SAM in cases of unexplained abdominal pain or suspected arteriopathy.
LEARNING POINTS: Segmental arterial mediolysis (SAM) is a rare and underdiagnosed vasculopathy.SAM is a challenging diagnosis and should not be confused with vasculitis.SAM has a good prognosis with spontaneous resolution in most cases.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:10 |
|---|---|
| Enthalten in: |
European journal of case reports in internal medicine - 10(2023), 11 vom: 15., Seite 004085 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Najmaoui, Marine [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Abdominal arteriopathy |
|---|
| Anmerkungen: |
Date Revised 04.11.2023 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
|---|
| doi: |
10.12890/2023_004085 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM364121017 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM364121017 | ||
| 003 | DE-627 | ||
| 005 | 20231226094756.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.12890/2023_004085 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1213.xml |
| 035 | |a (DE-627)NLM364121017 | ||
| 035 | |a (NLM)37920230 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Najmaoui, Marine |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Segmental Arterial Mediolysis and its Mimickers |b A Case Report and Review of the Literature |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Revised 04.11.2023 | ||
| 500 | |a published: Electronic-eCollection | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a © EFIM 2023. | ||
| 520 | |a This case report addresses segmental arterial mediolysis (SAM), a rare non-inflammatory vasculopathy. A 51-year-old man presented at the emergency department for epigastric and left upper quadrant pain. He had a history of arterial hypertension and had recently received methylprednisolone for knee pain. Blood tests revealed elevated C-reactive protein levels at 40 mg/l and lactate dehydrogenase levels at 496 IU/ml. Abdominal computerized tomography showed arterial thickening, arterial dilatations, and dissections of the splenic and renal arteries, leading to organ ischemia. This case emphasizes the importance of considering SAM in cases of unexplained abdominal pain or suspected arteriopathy | ||
| 520 | |a LEARNING POINTS: Segmental arterial mediolysis (SAM) is a rare and underdiagnosed vasculopathy.SAM is a challenging diagnosis and should not be confused with vasculitis.SAM has a good prognosis with spontaneous resolution in most cases | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Segmental arterial mediolysis | |
| 650 | 4 | |a abdominal arteriopathy | |
| 650 | 4 | |a arterial aneurysm | |
| 650 | 4 | |a arterial dissection | |
| 650 | 4 | |a vasculitis mimickers | |
| 700 | 1 | |a Pezzulo, Martina |e verfasserin |4 aut | |
| 700 | 1 | |a Franchimont, Denis |e verfasserin |4 aut | |
| 700 | 1 | |a Vandergheynst, Frédéric |e verfasserin |4 aut | |
| 700 | 1 | |a Ilzkovitz, Maxime |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t European journal of case reports in internal medicine |d 2014 |g 10(2023), 11 vom: 15., Seite 004085 |w (DE-627)NLM246277157 |x 2284-2594 |7 nnns |
| 773 | 1 | 8 | |g volume:10 |g year:2023 |g number:11 |g day:15 |g pages:004085 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.12890/2023_004085 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 10 |j 2023 |e 11 |b 15 |h 004085 | ||