Celiac trunk segmental arterial mediolysis: a rare cause of arteriopathy

Rev Esp Enferm Dig . 2021 Jan;113(1):67-68. doi: 10.17235/reed.2020.7143/2020.

Fecha de la publicación: 01/01/2021

Autor: Elena García Rivera (1), Noelia Cenizo Revuelta (1), Liliana Fidalgo Domingos (1), Carlos Vaquero Puerta 1()



1Angiología y Cirugía Vascular, Hospital Clínico Universitario de Valladolid, España.


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).