| Title | Intra-abdominal hemorrhage caused by segmental arterial mediolysis of the inferior mesenteric artery: report of a case. |
| Author(s) | Rengstorff DS, Baker EL, Wack J, Yee LF |
| Institution | Department of Gastroenterology and Hepatology, California Pacific Medical Center, San Francisco, California 94115, USA. |
| Source | Dis Colon Rectum 2004 May; 47(5):769-72. |
| MeSH | Abdomen
Female
Hemorrhage
Humans
Mesenteric Artery, Inferior
Middle Aged
Tunica Media
Vascular Diseases
|
| Abstract | PURPOSE: This article reports a patient with acute intra-abdominal hemorrhage secondary to a rare vascular disease, segmental arterial mediolysis
METHODS: The patient was a 56-year-old female who presented with severe acute abdominal pain. An abdominal and pelvic computed tomogram demonstrated suggestion of an intra-abdominal hemorrhage. Visceral angiography illustrated aneurysms in the branches of the inferior mesenteric artery. The patient underwent a left hemicolectomy with resection of the diseased artery.
RESULTS: The angiographic and histologic findings were consistent with a diagnosis of segmental arterial mediolysis involving only the inferior mesenteric artery.
CONCLUSIONS: This is the first known reported case of intra-abdominal hemorrhage related to segmental arterial mediolysis requiring emergent hemicolectomy. |
| Language | eng |
| Pub Type(s) | Case Reports
Journal Article
|
| PubMed ID | 15054678 |
