Have You Seen SAM?

S. Fleming, R. Tang, J. Ferguson, R. Kwok, S. Jansen

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Abstract

Introduction: Segmental arterial mediolysis (SAM) is a rare, non-atherosclerotic, non-inflammatory vascular disease mostly affecting medium to large sized abdominal arteries which may cause aneurysms, stenosis, and haemorrhage. Report: A case is reported of a patient with SAM affecting the renal arteries bilaterally, where the diagnosis was made by excluding other inflammatory, immunological, and infectious mimickers. Discussion: As SAM carries a significant mortality and morbidity from end organ ischaemia, infarction, or haemorrhage, it should be considered in any patient presenting with abdominal pain.

Original languageEnglish
Pages (from-to)8-11
Number of pages4
JournalEJVES Short Reports
Volume38
DOIs
Publication statusPublished - 1 Jan 2018
Externally publishedYes

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Fleming, S., Tang, R., Ferguson, J., Kwok, R., & Jansen, S. (2018). Have You Seen SAM? EJVES Short Reports, 38, 8-11. https://doi.org/10.1016/j.ejvssr.2017.12.001