A Diagnostic Dilemma: Acute Abdomen Presenting As Segmental Arterial Mediolysis Masked by a Ruptured Hepatocellular Carcinoma

Overview

Journal Gastroenterol Rep (Oxf)

Specialty Gastroenterology

Date 2015 Jul 12

PMID 26163669

Citations 2

Authors

Chen-Yi Liao

Wu-Hsien Kuo

En-Hua Huang

An-Tie Hsieh

Ching-Chang Le

Chi-Chang Tsai

Chao-Wen Hsueh

Affiliations

Soon will be listed here.

Abstract

A 65-year-old male was brought to our hospital with right upper abdominal fullness sensation and recent body weight loss of about 3 kg. The patient had developed episodes of melena following progressive abdominal muscular guarding and drop of haemoglobin level to 6.3 g/dL. An abdominal computed tomography scan disclosed a ruptured hepatocellular cell carcinoma. A segmental arterial mediolysis was found on the superior mesenteric artery in the process of repairing the ruptured right hepatic artery with the assistance of angiography. Transarterial embolization was carried out and permanent haemostasis was achieved.

Citing Articles

Rare Mesenteric Arterial Diseases: Fibromuscular Dysplasia and Segmental Arterial Mediolysis and Literature Review.

Ko M, Kamimura K, Sakamaki A, Niwa Y, Tominaga K, Mizuno K Intern Med. 2019; 58(23):3393-3400.

PMID: 31327836 PMC: 6928505. DOI: 10.2169/internalmedicine.3094-19.

Longitudinal Evaluation of Segmental Arterial Mediolysis in Splanchnic Arteries: Case Series and Systematic Review.

Kim H, Min S, Han A, Choi C, Min S, Ha J PLoS One. 2016; 11(8):e0161182.

PMID: 27513466 PMC: 4981304. DOI: 10.1371/journal.pone.0161182.

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