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Title

Médiolyse artérielle segmentaire : un diagnostic différentiel de vasculite

Authors
Alipour Tehrany, Yassaman
Published in Revue médicale suisse. 2017, vol. 13, no. 557, p. 754-757
Abstract Segmental arterial mediolysis (SAM) is a rare non-atherosclerotic, non-inflammatory disease of unknown aetiology mostly affecting medium-sized arteries of the splanchnic circulation. Histologically, SAM is characterized by vacuolization and lysis of the arterial media leading to dissection, stenosis/occlusion or aneurysms. Symptoms vary from unspecific abdominal pain to hemorrhagic shock due to vessel rupture. The clinical and radiological presentation can mimic vasculitis, fibromuscular dysplasia or collagen vascular diseases. SAM is often self-limited and may be managed conservatively with adequate blood pressure control in the majority of cases. However, if arterial dissections or aneurysmal ruptures are present, endovascular or surgical treatment should be considered urgently.
Identifiers
PMID: 28722365
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Research groups Groupe Seebach Jorg Dieter (transplantation et immunologie) (856)
Imagerie per-opératoire multi-modalité en radiologie interventionnelle (949)
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ALIPOUR TEHRANY, Yassaman, TERRAZ, Sylvain, SEEBACH, Jorg Dieter. Médiolyse artérielle segmentaire : un diagnostic différentiel de vasculite. In: Revue médicale suisse, 2017, vol. 13, n° 557, p. 754-757. https://archive-ouverte.unige.ch/unige:99169

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Deposited on : 2017-11-17

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