Potentially stress-induced acute splanchnic segmental arterial mediolysis with a favorable spontaneous outcome Aude Belbezier, MD, Françoise Sarrot-Reynauld,

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Potentially stress-induced acute splanchnic segmental arterial mediolysis with a favorable spontaneous outcome Aude Belbezier, MD, Françoise Sarrot-Reynauld, MD, PhD, Frédéric Thony, MD, Florence Tahon, MD, Olivier Heck, MD, Laurence Bouillet, MD, PhD Journal of Vascular Surgery Cases and Innovative Techniques Volume 3, Issue 1, Pages 26-29 (March 2017) DOI: 10.1016/j.jvscit.2016.09.002 Copyright © 2016 The Authors Terms and Conditions

Fig 1 A, Sagittal T1-weighted medullary magnetic resonance imaging (MRI) without administration of a contrast agent revealed a spontaneous hypersignal due to hemorrhage (arrow) at the T3 level. B, Sagittal T2-weighted medullary MRI showed heterogeneous filling of the subdural space (arrow) and a mass effect on the spinal cord (star) at the T3 level. C, Sagittal T1-weighted medullary MRI after gadolinium injection exhibited diffuse arachnoiditis (arrowhead) and hematic heterogeneous subdural filling (arrow). D, Axial T1-weighted medullary MRI after gadolinium injection showed a contrast enhancement of the arachnoid membrane (arrowhead), a hematic heterogeneous epidural filling (arrow), and a mass effect on the spinal cord that appeared shifted to the left (star). Journal of Vascular Surgery Cases and Innovative Techniques 2017 3, 26-29DOI: (10.1016/j.jvscit.2016.09.002) Copyright © 2016 The Authors Terms and Conditions

Fig 2 Abdominal computed tomography scan with three-dimensional reconstruction revealed aneurysmal lesions of the right gastroepiploic artery (A; large arrow) as well as alternating irregular aneurysms and stenoses of the superior mesenteric artery (A; thin arrows) that decreased (B; large arrow) or disappeared (B; thin arrow) 3 weeks later. Journal of Vascular Surgery Cases and Innovative Techniques 2017 3, 26-29DOI: (10.1016/j.jvscit.2016.09.002) Copyright © 2016 The Authors Terms and Conditions

Fig 3 Celiac arteriography showed a long irregular aneurysm (arrow) of the right gastroepiploic artery, with a maximal diameter of 8 mm, associated with arterial stenoses. Journal of Vascular Surgery Cases and Innovative Techniques 2017 3, 26-29DOI: (10.1016/j.jvscit.2016.09.002) Copyright © 2016 The Authors Terms and Conditions