European Journal of Rheumatology
Case Report

Segmental arterial mediolysis mimics systemic vasculitis


Department of Internal Medicine, Division of Rheumatology, Ege University School of Medicine, İzmir, Turkey


Department of Radiology, Ege University School of Medicine, İzmir, Turkey

Eur J Rheumatol 2016; 3: 136-138
DOI: 10.5152/eurjrheum.2015.0047
Read: 2528 Downloads: 1276 Published: 03 September 2019


Segmental arterial mediolysis (SAM) is a rare, nonarteriosclerotic, noninflammatory vascular disease and mostly affects medium-to-large sized abdominal arteries as well as presents with hemorrhages in the abdominal cavity. We report the case of a patient with SAM of the celiac, right renal, jejunal branch of the superior mesenteric, left gastric, and splenic arteries who was diagnosed by excluding other causes and in whom transcatheter embolization was performed in two different sessions, but he died because of an undefined reason. SAM mimics systemic vasculitis and causes abdominal pain; it should be considered because abdominal hemorrhage or arterial infarction can result in death.        

EISSN 2148-4279