Segmental arterial mediolysis with string of beads sign

Case contributed by Thomas Snow
Diagnosis almost certain

Presentation

Sudden abdominal pain.

Patient Data

Age: 65 years
Gender: Male

Abdominal CT angiogram

ct

CT angiography shows alternating stenoses and aneurysms of the middle colic artery, the ‘string-of-beads’ sign, surrounded by mesenteric hemorrhage.

Case Discussion

Typical presentation and angiographic appearance of segmental arterial mediolysis of the middle colic artery with string of beads sign

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