Rare Mesenteric Arterial Diseases: Fibromuscular Dysplasia and Segmental Arterial Mediolysis and Literature Review

Fibromuscular dysplasia (FMD) and segmental arterial mediolysis (SAM) are noninflammatory, nonatherosclerotic arterial diseases that cause aneurysm, occlusion, and thromboses. These diseases are rarely seen in mesenteric arterial lesions; however, as they can be lethal if appropriate management is n...

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Bibliographic Details
Published in:Internal Medicine 2019/12/01, Vol.58(23), pp.3393-3400
Main Authors: Ko, Masayoshi, Kamimura, Kenya, Sakamaki, Akira, Niwa, Yusuke, Tominaga, Kentaro, Mizuno, Kenichi, Terai, Shuji
Format: Article
Language:English
Subjects:
Aneurysm - diagnosis
Aneurysm - etiology
Arterial Occlusive Diseases - complications
Arterial Occlusive Diseases - diagnosis
Arteries - pathology
Case Report
diagnosis
Diseases
Dysplasia
Early Diagnosis
Female
fibromuscular dysplasia
Fibromuscular Dysplasia - complications
Fibromuscular Dysplasia - diagnosis
Humans
Internal medicine
Literature reviews
Male
Medical treatment
mesenteric lesion
Mesentery - blood supply
Mesentery - pathology
Middle Aged
Occlusion
Prognosis
Rare Diseases - complications
Rare Diseases - diagnosis
segmental arterial mediolysis
Thromboembolism
Thrombosis - diagnosis
Thrombosis - etiology
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Summary:Fibromuscular dysplasia (FMD) and segmental arterial mediolysis (SAM) are noninflammatory, nonatherosclerotic arterial diseases that cause aneurysm, occlusion, and thromboses. These diseases are rarely seen in mesenteric arterial lesions; however, as they can be lethal if appropriate management is not provided, the accumulation of clinical information from cases is essential. We herein report the cases of a 57-year-old man diagnosed with FMD and a 63-year-old man diagnosed with SAM. We conclude that an early diagnosis with imaging modalities and clinical information followed by the appropriate treatment improves the prognosis of these arterial diseases.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.3094-19