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Updated: Nov 29, 2025

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Celiac trunk segmental arterial mediolysis: a rare cause of arteriopathy
Elena García Rivera1, Noelia Cenizo Revuelta1, Liliana Fidalgo Domingos1
1Angiología y Cirugía Vascular, Hospital Clínico Universitario de Valladolid, España.
Abstract:
A 50-year-old male patient, without a previous medical history, presented sudden severe abdominal pain with no alterations in the blood analysis. A CT-Angiography (CTA) was performed that showed a wall thickening of the celiac trunk extended to the hepatic artery with a filiform lumen and no involvement of the splenic artery. There were no signs of intestinal or liver ischemia, therefore no further radiological tests were performed. The proteinogram and serology were normal, with no immunological and acute phase reactant markers, excluding vasculitis. It appeared as an isolated lesion with no signs of arterial dissection or pseudoaneurysms of the remaining abdominal vessels or the aorta. Therefore, it was considered as a Segmental Arterial Mediolisis (SAM).
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