Endovascular Treatment of a Splenic Aneurysm Associated With Segmental Arterial Mediolysis

Introduction Segmental arterial mediolysis is a rare disorder characterised by disintegration of the medial layer of an arterial wall usually affecting the intra-abdominal splanchnic vessels. Report A case of 50 year old man who presented with sudden-onset left sided flank pain is reported. A computed tomography mesenteric angiogram showed haemorrhage and a stable left upper quadrant haematoma arising from 8 × 8 mm splenic artery aneurysm. Discussion The patient underwent a successful endovascular coiling procedure to exclude the aneurysm and for complete resolution of his symptoms.