ArticleEuropean journal of case reports in internal medicine2020
Segmental Arterial Mediolysis: An Under-Recognized Cause of Chronic Abdominal Pain.
Article in European journal of case reports in internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 5 citations in OpenAlex.
- Segmental Arterial Mediolysis Associated with Renal Allograft Artery Dissection and Thrombosis During Kidney Transplantation.Clinics and practice · 2026Article
- Pseudoaneurysm formation in the setting of segmental arterial mediolysis with arterial embolization and angioplasty.Journal of vascular surgery cases and innovative techniques · 2026Article
- Proper Hepatic Artery Pseudoaneurysm and Dissection: A Rare Case of Segmental Arterial Mediolysis.Cureus · 2025Article
- An Unusual Presentation of Segmental Arterial Mediolysis.ACG case reports journal · 2022Article
- A Case of Segmental Arterial Mediolysis of Multiple Visceral Arteries Following Anti-COVID-19 Vaccination: Late Complication or Rare Coincidence?The American journal of case reports · 2022Article
- Segmental arterial mediolysis: a rare cause of an acute abdomen.Journal of surgical case reports · 2021Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
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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. LEARNING POINTS: To recognize segmental arterial mediolysis (SAM) as a cause of chronic abdominal pain in the middle-aged and elderly population.To differentiate SAM from inflammatory vasculitis and atherosclerotic conditions.For cases with mild symptoms and haemodynamic stability, conservative management such as early lifestyle modifications, hypertension and hyperlipidaemia control and regular imaging follow-up should be offered.
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