naa a22 4500 510813623 CHVBK 20180411083454.0 cr unu---uuuuu 180411e20131201xx s 000 0 eng 10.1007/s12328-013-0433-7 doi (NATIONALLICENCE)springer-10.1007/s12328-013-0433-7 A case report of segmental arterial mediolysis in which computed tomography angiography was useful for diagnosis [Elektronische Daten] [Haruka Yoshida, Katsuaki Ukai, Mikako Sugimura, Hiromichi Akoshima, Kenji Kimura, Masahiro Iwabuchi, Keiichi Tadokoro, Hiroki Takahashi, Hiroya Rikimaru, Toshihiro Saitoh, Hiroyoshi Suzuki] A 48-year-old male presented to our hospital with abdominal pain. Laboratory studies showed no abnormality, the severity of his abdominal pain decreased, and the patient was discharged. Five days later, the patient visited a neighborhood clinic because of fever with a 3-day history of temperatures of approximately 38°C. The patient was admitted to our hospital 6days after his initial visit. Laboratory investigation revealed a C-reactive protein level of 18.2mg/dL. Abdominal computed tomography (CT) showed an 80×60mm hematoma behind the descending colon, but no extravasation was detected. Thin-slice maximum-intensity-projection images from CT angiography (CTA) showed irregular narrowing and intermittent fusiform dilatations of the left colonic artery, suggesting a vascular disease, such as segmental arterial mediolysis (SAM). Digital subtraction angiography showed local irregularity, and ‘beading and narrowing' of the left colonic artery, similar to the findings on CTA. Left hemicolectomy was electively performed on the twenty-fifth hospital day. Histological findings were consistent with SAM. Thus, CTA was a useful modality for the early diagnosis of SAM. The Author(s), 2013 Segmental arterial mediolysis nationallicence Maximum-intensity-projection (MIP) images nationallicence CT angiography (CTA) nationallicence Digital subtraction angiography (DSA) nationallicence Yoshida Haruka Department of Gastroenterology, Sendai Medical Center, 2-8-8 Miyagino, 983-8520, Sendai, Miyagi, Japan aut Ukai Katsuaki Department of Gastroenterology, Sendai Medical Center, 2-8-8 Miyagino, 983-8520, Sendai, Miyagi, Japan aut Sugimura Mikako Department of Gastroenterology, Sendai Medical Center, 2-8-8 Miyagino, 983-8520, Sendai, Miyagi, Japan aut Akoshima Hiromichi Department of Gastroenterology, Sendai Medical Center, 2-8-8 Miyagino, 983-8520, Sendai, Miyagi, Japan aut Kimura Kenji Department of Gastroenterology, Sendai Medical Center, 2-8-8 Miyagino, 983-8520, Sendai, Miyagi, Japan aut Iwabuchi Masahiro Department of Gastroenterology, Sendai Medical Center, 2-8-8 Miyagino, 983-8520, Sendai, Miyagi, Japan aut Tadokoro Keiichi Department of Gastroenterology, Sendai Medical Center, 2-8-8 Miyagino, 983-8520, Sendai, Miyagi, Japan aut Takahashi Hiroki Department of General Medicine, Sendai Medical Center, Sendai, Japan aut Rikimaru Hiroya Department of Radiology, Sendai Medical Center, Sendai, Japan aut Saitoh Toshihiro Department of Surgery, Sendai Medical Center, Sendai, Japan aut Suzuki Hiroyoshi Department of Pathology and Laboratory Medicine, Sendai Medical Center, Sendai, Japan aut Clinical Journal of Gastroenterology Springer Japan 6/6(2013-12-01), 447-453 1865-7257 6:6<447 2013 6 12328 https://doi.org/10.1007/s12328-013-0433-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12328-013-0433-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yoshida Haruka Department of Gastroenterology, Sendai Medical Center, 2-8-8 Miyagino, 983-8520, Sendai, Miyagi, Japan aut NATIONALLICENCE 700 1- Ukai Katsuaki Department of Gastroenterology, Sendai Medical Center, 2-8-8 Miyagino, 983-8520, Sendai, Miyagi, Japan aut NATIONALLICENCE 700 1- Sugimura Mikako Department of Gastroenterology, Sendai Medical Center, 2-8-8 Miyagino, 983-8520, Sendai, Miyagi, Japan aut NATIONALLICENCE 700 1- Akoshima Hiromichi Department of Gastroenterology, Sendai Medical Center, 2-8-8 Miyagino, 983-8520, Sendai, Miyagi, Japan aut NATIONALLICENCE 700 1- Kimura Kenji Department of Gastroenterology, Sendai Medical Center, 2-8-8 Miyagino, 983-8520, Sendai, Miyagi, Japan aut NATIONALLICENCE 700 1- Iwabuchi Masahiro Department of Gastroenterology, Sendai Medical Center, 2-8-8 Miyagino, 983-8520, Sendai, Miyagi, Japan aut NATIONALLICENCE 700 1- Tadokoro Keiichi Department of Gastroenterology, Sendai Medical Center, 2-8-8 Miyagino, 983-8520, Sendai, Miyagi, Japan aut NATIONALLICENCE 700 1- Takahashi Hiroki Department of General Medicine, Sendai Medical Center, Sendai, Japan aut NATIONALLICENCE 700 1- Rikimaru Hiroya Department of Radiology, Sendai Medical Center, Sendai, Japan aut NATIONALLICENCE 700 1- Saitoh Toshihiro Department of Surgery, Sendai Medical Center, Sendai, Japan aut NATIONALLICENCE 700 1- Suzuki Hiroyoshi Department of Pathology and Laboratory Medicine, Sendai Medical Center, Sendai, Japan aut NATIONALLICENCE 773 0- Clinical Journal of Gastroenterology Springer Japan 6/6(2013-12-01), 447-453 1865-7257 6:6<447 2013 6 12328 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer