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A Method for Evaluating Timeliness and Accuracy of Volitional Motor Responses to Vibrotactile Stimuli
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Have You Seen SAM?

S Fleming1, R Tang1, J Ferguson1

  • 1Department of Vascular Surgery, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia.

EJVES Short Reports
|May 22, 2018
PubMed
Summary
This summary is machine-generated.

Segmental arterial mediolysis (SAM) is a rare vascular condition affecting abdominal arteries. Early consideration of SAM in patients with abdominal pain is crucial due to its significant risks.

Keywords:
ArterialHaemorrhageMediolysisSegmentalVasculopathy

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Area of Science:

  • Vascular Medicine
  • Rare Diseases
  • Diagnostic Challenges

Background:

  • Segmental arterial mediolysis (SAM) is a rare vascular disease affecting medium to large abdominal arteries.
  • It is characterized by non-atherosclerotic, non-inflammatory changes.
  • SAM can lead to aneurysms, stenosis, and hemorrhage.

Observation:

  • A case of SAM affecting the renal arteries bilaterally is presented.
  • The diagnosis was established by excluding other potential causes.
  • This highlights the importance of differential diagnosis in complex vascular cases.

Findings:

  • Segmental arterial mediolysis presents diagnostic challenges due to its rarity and non-specific symptoms.
  • Exclusion of inflammatory, immunological, and infectious conditions is key to diagnosing SAM.
  • Bilateral renal artery involvement in SAM is a significant finding.

Implications:

  • SAM carries a high risk of mortality and morbidity.
  • End-organ ischemia, infarction, and hemorrhage are potential complications.
  • Clinicians should consider SAM in patients presenting with abdominal pain for timely diagnosis and management.