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

  • Tulika Chatterjee Department of Internal Medicine, University of Illinois College of Medicine, Peoria, Illinois, USA
  • Johnathon Stephens Department of Radiology, University of Illinois College of Medicine, Peoria, Illinois, USA
  • Moni Roy Department of Internal Medicine, University of Illinois College of Medicine, Peoria, Illinois, USA; OSF Saint Francis Medical Center, Peoria, Illinois, USA

Keywords

segmental arterial mediolysis, chronic abdominal pain

Abstract

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.

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References

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Published: 2020-07-27

Issue: Vol 7 No 10 (view)

Section: Articles

How to cite:
1.
Chatterjee T, Stephens J, Roy M. Segmental Arterial Mediolysis: An Under-Recognized Cause of Chronic Abdominal Pain. EJCRIM 2020;7 doi:10.12890/2020_001830.