SEGMENTAL ARTERIAL MEDIOLYSIS - A RARE DISEASEPRESENTED WITH COMMON SYMPTOMS

A rare case of segmental arterial mediolysis- (SAM) presented with recurrent attacks of common symptoms like epigastric pain radiating to the back, and right lumbar pain with radiation to the groin in 55 yr old male patient. Routine investigations x-ray abdomen, ultrasound, and blood investigations are normal. NECT was non-contributory, but CECT shows circumferential soft tissue thickening that involved the celiac trunk extending into the trifurcation and the proximal part of the splenic artery, resulting in significant luminal narrowing and irregularities in the celiac artery. Focal narrow-necked saccular outpouching was noted arising from the celiac artery from its origin and directed laterally. There is no evidence of a thrombus or active leak. Focal dilatation at the bifurcation of the common hepatic artery, extending to proximal gastrodudenal artery with adequate contrast opacification and distal runoff. Reporting the features of this rare disease diagnosed by CECT.