title: Segmental arterial mediolysis mimics systemic vasculitis.
abstract: Segmental arterial mediolysis (SAM) is a rare, nonarteriosclerotic, noninflammatory vascular disease and mostly affects medium-to-large sized abdominal arteries as well as presents with hemorrhages in the abdominal cavity. We report the case of a patient with SAM of the celiac, right renal, jejunal branch of the superior mesenteric, left gastric, and splenic arteries who was diagnosed by excluding other causes and in whom transcatheter embolization was performed in two different sessions, but he died because of an undefined reason. SAM mimics systemic vasculitis and causes abdominal pain; it should be considered because abdominal hemorrhage or arterial infarction can result in death.
authors.affiliation: Department of Internal Medicine, Division of Rheumatology, Ege University School of Medicine, İzmir, Turkey.
authors.forename: Melike
authors.initials: M
authors.lastname: Kalfa
authors.affiliation: Department of Internal Medicine, Division of Rheumatology, Ege University School of Medicine, İzmir, Turkey.
authors.forename: Hayriye
authors.initials: H
authors.lastname: Kocanaoğulları
authors.affiliation: Department of Internal Medicine, Division of Rheumatology, Ege University School of Medicine, İzmir, Turkey.
authors.forename: Gonca
authors.initials: G
authors.lastname: Karabulut
authors.affiliation: Department of Internal Medicine, Division of Rheumatology, Ege University School of Medicine, İzmir, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Emmungil
authors.affiliation: Department of Radiology, Ege University School of Medicine, İzmir, Turkey.
authors.forename: Celal
authors.initials: C
authors.lastname: Çınar
authors.affiliation: Department of Internal Medicine, Division of Rheumatology, Ege University School of Medicine, İzmir, Turkey.
authors.forename: Zevcet
authors.initials: Z
authors.lastname: Yılmaz
authors.affiliation: Department of Internal Medicine, Division of Rheumatology, Ege University School of Medicine, İzmir, Turkey.
authors.forename: Sercan
authors.initials: S
authors.lastname: Gücenmez
authors.affiliation: Department of Internal Medicine, Division of Rheumatology, Ege University School of Medicine, İzmir, Turkey.
authors.forename: Yasemin
authors.initials: Y
authors.lastname: Kabasakal
keywords: Pseudoaneurysm; segmental arterial mediolysis; vasculitis