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A case of ruptured segmental arterial mediolysis of the hepatic artery: report of a case.


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Title: A case of ruptured segmental arterial mediolysis of the hepatic artery: report of a case.
Authors: Tomonaga, Tetsuo / Eguchi, Susumu / Hidaka, Masaaki / Takatsuki, Mitsuhisa / Soyama, Akihiko / Muraoka, Izumi / Mizutani, Akimasa / Fukui, Hiroshi / Kanematsu, Takashi
Issue Date: 11-Jan-2012
Publisher: H.G.E. Update Medical Publishing Ltd.
Citation: Hepato-gastroenterology, 58(112), pp.1912-1914; 2012
Abstract: This article reports a patient with intra-abdominal hemorrhage secondary to a rare vascular disease, segmental arterial mediolysis (SAM). The patient was a 68-year-old male who presented with chilling and severe abdominal pain. Abdominal computed tomography results suggested the presence of an intra-abdominal hemorrhage. Although visceral angiography illustrated multiple aneurysms in the branches of the hepatic artery, active bleeding was not evident. Conservative therapy including transfusion was performed, and re-angiography revealed the disappearance of multiple hepatic arterial aneurysms 8 months later. This is the first case of intra-abdominal hemorrhage related to SAM of the hepatic artery in which natural history of SAM was seen.
Keywords: Hepatic aneurysm / Hepatic artery / Rupture / Segmental arterial mediolysis / Spontaneous intra-abdominal hemorrhage
URI: http://hdl.handle.net/10069/28819
ISSN: 01726390
DOI: 10.5754/hge10177
PubMed ID: 22234060
Rights: © H.G.E. Update Medical Publishing S.A.
Type: Journal Article
Text Version: author
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/28819

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