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File
language
eng
Attribute
Case report
Author
Nakamura, Akiho Postgraduate Clinical Training Center
Takinami, Yoshikazu Department of Emergency and Critical Care Medicine
Kodani, Nobuhiro Department of Emergency and Critical Care Medicine
Nishina, Masayoshi Department of Emergency and Critical Care Medicine
Shimojo, Yoshihide Department of Acute Care Surgery
Hira, Eiji Department of Acute Care Surgery
Watanabe, Hiroaki Department of Acute Care Surgery
Yoshida, Rika Department of Radiology
Ando, Shinji Department of Radiology
Description
We encountered a case of intraabdominal hemorrhage caused by celiac artery dissection in a 74-year-old man. Angiography revealed the characteristic string-of-beads sign, irregular alternating arterial dilatations and stenoses giving a rosary-like appearance, which we suspected was caused by segmental arterial mediolysis (SAM) in the branches of the superior mesenteric artery (SMA); these findings were observed in two locations along the pancreaticoduodenal artery and at one point along the small gastric branch. The patient was managed conservatively and the splanchnic arterial aneurysm believed to be the origin of the hemorrhage, as well as the aneurysm along the small gastric branch, resolved. There are no established criteria for invasive treatment of splanchnic artery aneurysms but this case suggests that thorough follow-up is necessary in cases of SAM.
Subject
celiac artery dissection
segmental arterial mediolysis
interventional radiology
Journal Title
Shimane Journal of Medical Science
Volume
34
Issue
1
Start Page
41
End Page
45
ISSN
03865959
ISSN(Online)
24332410
Published Date
2017-07-31
NCID
AA00841586
Publisher
Faculty of Medicine, Shimane University
Publisher Aalternative
島根大学医学部
NII Type
Departmental Bulletin Paper
Format
PDF
Rights
Faculty of Medicine, Shimane University
Text Version
出版社版
OAI-PMH Set
Faculty of Medicine
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