@article{oai:nagasaki-u.repo.nii.ac.jp:00010340, author = {Tomonaga, Tetsuo and Eguchi, Susumu and Hidaka, Masaaki and Takatsuki, Mitsuhisa and Soyama, Akihiko and Muraoka, Izumi and Mizutani, Akimasa and Fukui, Hiroshi and Kanematsu, Takashi}, issue = {112}, journal = {Hepato-gastroenterology}, month = {Jan}, note = {This article reports a patient with intra-abdominal hemorrhage secondary to a rare vascular disease, segmental arterial mediolysis (SAM). The patient was a 68-year-old male who presented with chilling and severe abdominal pain. Abdominal computed tomography results suggested the presence of an intra-abdominal hemorrhage. Although visceral angiography illustrated multiple aneurysms in the branches of the hepatic artery, active bleeding was not evident. Conservative therapy including transfusion was performed, and re-angiography revealed the disappearance of multiple hepatic arterial aneurysms 8 months later. This is the first case of intra-abdominal hemorrhage related to SAM of the hepatic artery in which natural history of SAM was seen., Hepato-gastroenterology, 58(112), pp.1912-1914; 2012}, pages = {1912--1914}, title = {A case of ruptured segmental arterial mediolysis of the hepatic artery: report of a case.}, volume = {58}, year = {2012} }