Segmental mediolytic arteriopathy (SMA) of central, visceral and peripheral vessels].

A 27-year-old man had been admitted to hospital with acute neurological defects involving his legs and urinary system. An intervertebral disk was removed surgically, because a herniation had been suspected. But symptoms increased postoperatively. Further imaging showed a ruptured aneurysm of the internal iliac artery which was treated with coil embolization. Further diagnostic tests excluded hematological, rheumatic and endocrinological causes for the development of the aneurysm. Genetic differentiation was normal. Imaging then demonstrated "string of beads" small aneurysms of intra- and extracerebral, renal, visceral and peripheral arteries. During the past three years the patient had repeated ruptures of the intra-abdominal arterial aneurysms for which coil embolization and bypass grafting were performed, also to prevent further ruptures. Segmental mediolytic arteriopathy is a rare condition requiring careful imaging and histological tests for its diagnosis and acute surgical treatment.

Citation

E Schönefeld, W Völker, G Torsello. Segmental mediolytic arteriopathy (SMA) of central, visceral and peripheral vessels]. Deutsche medizinische Wochenschrift (1946). 2010 Apr;135(15):745-9

Mesh Tags

PMID: 20373271

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