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Acute abdominal pain: a challenging diagnosis

Ahead of print available from 21/06/2022
These articles are scheduled for publication in Vol. 85 (4) 2022

Author(s) L. Minten 1, P. Messiaen 2 3, J. Van der Hilst 2 3
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DOI10.51821/85.4.9860
Affiliations:
(1) Department of Cardiovascular sciences, KULeuven, Leuven, Belgium
(2) Department of Infectious Diseases & Immunity, Jessa hospital, Hasselt, Belgium
(3) Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium

We hereby describe a case of an acutely ill 41-year-old male without any medical history who presented with an acute abdomen in the emergency department. An abdominal CT showed a dissection of the coeliac trunk and infarction of the spleen. Because of a presumed diagnosis of vasculitis he was started on high dose IV steroids. However, after additional testing the diagnosis of segmental arteriolar Mediolysis (SAM) was made. In this case report we describe the presentation, diagnosis, treatment and follow-up of this patient and provide the readers with background about common differential diagnosis and criteria for diagnosing SAM.

Keywords: acute abdominal pain, challenging diagnosis, vasculitis, Nonatherosclerotic Abdominal Vasculopathie, SAM, Case report
The authors declare that they have no conflict of interest.
© Acta Gastro-Enterologica Belgica.