Lee Christina, Yamada Kei, Gordon Fredric
Gastroenterology, Tufts Medical Center, Boston, USA.
Interventional Radiology, Tufts Medical Center, Boston, USA.
Cureus. 2025 Aug 12;17(8):e89894. doi: 10.7759/cureus.89894. eCollection 2025 Aug.
Segmental arterial mediolysis (SAM) is a rare vasculopathy of unknown etiology. Due to the rarity of SAM and limited literature on the disease, there is a lack of consensus on the diagnostic criteria and therapeutic management. Thus, patients can present with serious complications of SAM, which include aneurysm, dissection, occlusion, stenosis, hemorrhage, and infarction. We report a rare case of a patient diagnosed with SAM within the liver, as well as unravel the diagnostic approaches and therapeutic management of SAM in this patient's case.
节段性动脉中层溶解(SAM)是一种病因不明的罕见血管病。由于SAM罕见且关于该疾病的文献有限,在诊断标准和治疗管理方面缺乏共识。因此,患者可能出现SAM的严重并发症,包括动脉瘤、夹层、闭塞、狭窄、出血和梗死。我们报告一例罕见的肝脏内诊断为SAM的患者病例,并阐明该患者病例中SAM的诊断方法和治疗管理。