Segmental Arterial Mediolysis: An Under-Recognized Cause of Chronic Abdominal Pain

Segmental Arterial Mediolysis: An Under-Recognized Cause of Chronic Abdominal Pain

Segmental arterial mediolysis (SAM) is a non-inflammatory, non-atherosclerotic vasculopathy mostly involving the abdominal arteries. SAM was recently recognized as a more prevalent aetiology of abdominal pain than initially thought by healthcare providers. It is still a commonly missed diagnosis in...

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Bibliographic Details
Main Authors: Tulika Chatterjee, Johnathon Stephens, Moni Roy
Format: Article
Language:English
Published: SMC MEDIA SRL 2020-07-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
segmental arterial mediolysis
chronic abdominal pain
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/1830
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spelling doaj-62a280971e9440fb8f8bfc20812b76c12020-11-25T02:59:26ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942020-07-0110.12890/2020_0018301456Segmental Arterial Mediolysis: An Under-Recognized Cause of Chronic Abdominal PainTulika Chatterjee0Johnathon Stephens1Moni Roy2Department of Internal Medicine, University of Illinois College of Medicine, Peoria, Illinois, USADepartment of Radiology, University of Illinois College of Medicine, Peoria, Illinois, USADepartment of Internal Medicine, University of Illinois College of Medicine, Peoria, Illinois, USA; OSF Saint Francis Medical Center, Peoria, Illinois, USA Segmental arterial mediolysis (SAM) is a non-inflammatory, non-atherosclerotic vasculopathy mostly involving the abdominal arteries. SAM was recently recognized as a more prevalent aetiology of abdominal pain than initially thought by healthcare providers. It is still a commonly missed diagnosis in patients with recurrent emergency room (ER) visits for abdominal pain. Most published case reports in the past have highlighted catastrophic sequelae such as intra-abdominal haemorrhage requiring surgical intervention. We report a case of SAM where the diagnosis was initially missed. After diagnosis, conservative medical management was offered which led to clinical improvement.https://www.ejcrim.com/index.php/EJCRIM/article/view/1830segmental arterial mediolysis chronic abdominal pain
collection DOAJ
language English
format Article
sources DOAJ
author Tulika Chatterjee
Johnathon Stephens
Moni Roy
spellingShingle Tulika Chatterjee
Johnathon Stephens
Moni Roy
Segmental Arterial Mediolysis: An Under-Recognized Cause of Chronic Abdominal Pain
European Journal of Case Reports in Internal Medicine
segmental arterial mediolysis
chronic abdominal pain
author_facet Tulika Chatterjee
Johnathon Stephens
Moni Roy
author_sort Tulika Chatterjee
title Segmental Arterial Mediolysis: An Under-Recognized Cause of Chronic Abdominal Pain
title_short Segmental Arterial Mediolysis: An Under-Recognized Cause of Chronic Abdominal Pain
title_full Segmental Arterial Mediolysis: An Under-Recognized Cause of Chronic Abdominal Pain
title_fullStr Segmental Arterial Mediolysis: An Under-Recognized Cause of Chronic Abdominal Pain
title_full_unstemmed Segmental Arterial Mediolysis: An Under-Recognized Cause of Chronic Abdominal Pain
title_sort segmental arterial mediolysis: an under-recognized cause of chronic abdominal pain
publisher SMC MEDIA SRL
series European Journal of Case Reports in Internal Medicine
issn 2284-2594
publishDate 2020-07-01
description Segmental arterial mediolysis (SAM) is a non-inflammatory, non-atherosclerotic vasculopathy mostly involving the abdominal arteries. SAM was recently recognized as a more prevalent aetiology of abdominal pain than initially thought by healthcare providers. It is still a commonly missed diagnosis in patients with recurrent emergency room (ER) visits for abdominal pain. Most published case reports in the past have highlighted catastrophic sequelae such as intra-abdominal haemorrhage requiring surgical intervention. We report a case of SAM where the diagnosis was initially missed. After diagnosis, conservative medical management was offered which led to clinical improvement.
topic segmental arterial mediolysis
chronic abdominal pain
url https://www.ejcrim.com/index.php/EJCRIM/article/view/1830
work_keys_str_mv AT tulikachatterjee segmentalarterialmediolysisanunderrecognizedcauseofchronicabdominalpain
AT johnathonstephens segmentalarterialmediolysisanunderrecognizedcauseofchronicabdominalpain
AT moniroy segmentalarterialmediolysisanunderrecognizedcauseofchronicabdominalpain
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