Year 2021 / Volume 113 / Number 1
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Celiac trunk segmental arterial mediolysis: a rare cause of arteriopathy

67-68

DOI: 10.17235/reed.2020.7143/2020

Elena García Rivera, Noelia Cenizo Revuelta, Liliana Fidalgo Domingos, Carlos Vaquero Puerta,

Abstract
A 50-year-old male patient, without a previous medical history, presented sudden severe abdominal pain with no alterations in the blood analysis. A CT-Angiography (CTA) was performed that showed a wall thickening of the celiac trunk extended to the hepatic artery with a filiform lumen and no involvement of the splenic artery. There were no signs of intestinal or liver ischemia, therefore no further radiological tests were performed. The proteinogram and serology were normal, with no immunological and acute phase reactant markers, excluding vasculitis. It appeared as an isolated lesion with no signs of arterial dissection or pseudoaneurysms of the remaining abdominal vessels or the aorta. Therefore, it was considered as a Segmental Arterial Mediolisis (SAM).
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García Rivera E, Cenizo Revuelta N, Fidalgo Domingos L, Vaquero Puerta C. Celiac trunk segmental arterial mediolysis: a rare cause of arteriopathy. 7143/2020


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Publication history

Received: 15/04/2020

Accepted: 02/05/2020

Online First: 19/11/2020

Published: 11/01/2021

Article revision time: 12 days

Article Online First time: 218 days

Article editing time: 271 days


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