Segmental arterial mediolysis and its mimickers: a case report and review of the literature
  • Marine Najmaoui
    Department of Internal Medicine, Hôpital Universitaire de Bruxelles (H.U.B.), Université Libre de Bruxelles (ULB), Brussels, Belgium
  • Martina Pezzulo
    Department of Radiology, Hôpital Universitaire de Bruxelles (H.U.B.), Université Libre de Bruxelles (ULB), Brussels, Belgium
  • Denis Franchimont
    Department of Gastroenterology, Hôpital Universitaire de Bruxelles (H.U.B.), Université Libre de Bruxelles (ULB), Brussels, Belgium
  • Frédéric Vandergheynst
    Department of Internal Medicine, Hôpital Universitaire de Bruxelles (H.U.B.), Université Libre de Bruxelles (ULB), Brussels, Belgium
  • Maxime Ilzkovitz
    Department of Internal Medicine, Hôpital Universitaire de Bruxelles (H.U.B.), Université Libre de Bruxelles (ULB), Brussels, Belgium

Keywords

segmental arterial mediolysis, abdominal arteriopathy, arterial dissection, arterial aneurysm, vasculitis mimickers

Abstract

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.

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References

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    Published: 2023-10-16
    Issue: 2023: Vol 10 No 11 (view)

    How to cite:
    1.
    Najmaoui M, Pezzulo M, Franchimont D, Vandergheynst F, Ilzkovitz M. Segmental arterial mediolysis and its mimickers: a case report and review of the literature. EJCRIM 2023;10 doi:10.12890/2023_004085.

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