98%
921
2 minutes
20
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).
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.17235/reed.2020.7143/2020 | DOI Listing |
J Vasc Surg Cases Innov Tech
December 2025
Department of Cardiovascular Surgery, Ogaki Municipal Hospital, Ogaki, Japan.
Pancreaticoduodenal artery (PDA) aneurysm is rare. A 79-year-old man with an abdominal aortic aneurysm and celiac artery stenosis caused by median arcuate ligament compression underwent endovascular aneurysm repair. On postoperative day 1, the patient experienced sudden abdominal pain and hypotension.
View Article and Find Full Text PDFInterv Radiol (Higashimatsuyama)
May 2025
Department of Radiology, Tenri Hospital, Japan.
A 75-year-old man with a history of open surgical repair for a thoracoabdominal aortic aneurysm presented with an aortic pseudoaneurysm at the anastomosis and a celiac artery aneurysm. During endovascular treatment, multiple celiac artery branches were embolized, and an aortic stent graft was placed to cover the aortic anastomosis and celiac artery origin. Four days post-treatment, a computed tomography scan revealed poor enhancement and fluid collection in the pancreatic body and tail, indicating acute ischemic pancreatitis with pancreatic necrosis.
View Article and Find Full Text PDFAm J Cardiol
September 2025
Department of Cardiovascular Disease, Mayo Clinic, Phoenix, AZ, USA, 85054; Department of Clinical Genomics, Mayo Clinic, Phoenix, AZ, USA.
Background/objective: Spontaneous coronary artery dissection (SCAD) is increasingly recognized as a cause of acute coronary syndrome and has been associated with extracoronary arteriopathies, such as fibromuscular dysplasia (FMD), aneurysms, and dissections across other vascular beds. However, these associations remain understudied in the literature. This study aims to characterize the prevalence and distribution of extracoronary arteriopathies in a large cohort of SCAD patients.
View Article and Find Full Text PDFCureus
August 2025
Radiology and Imaging Sciences, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
The Arc of Buhler (AOB) is a rare embryological vascular remnant that forms a persistent arterial connection between the superior mesenteric artery and the celiac artery. Although typically asymptomatic, it assumes clinical importance in the presence of celiac artery stenosis by serving as a key collateral route. Aneurysms arising from the AOB are uncommon but carry a significant risk of rupture.
View Article and Find Full Text PDFJ Vasc Surg
September 2025
Heart Center, Turku University Hospital, Turku, Finland. Electronic address:
Objective: To investigate the prevalence of mesenteric artery stenosis and its association with acute mesenteric ischemia (AMI) among elderly patients presenting at the emergency department with acute abdominal pain.
Methods: This single-center retrospective cohort study included 500 consecutive patients aged 65 years or more who underwent contrast enhanced computed tomography at the emergency department due to acute abdominal pain between 2013 and 2014. Imaging data were retrospectively evaluated by a consultant interventional radiologist for ≥50% stenosis of the superior mesenteric artery (SMA), celiac artery (CA) and inferior mesenteric artery (IMA).