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Copyright ©The Author(s) 2018.
World J Gastroenterol. Aug 28, 2018; 24(32): 3637-3649
Published online Aug 28, 2018. doi: 10.3748/wjg.v24.i32.3637
Table 3 Clinical characteristic of the fibromuscular dysplasia and segmental arterial mediolysis
Fibromuscular dysplasiaSegmental arterial mediolysis
GenderFemale (9:1)[2]No presentation[74]
Age of presentationYoung to middle age[2]No preference[74]
Laboratory findingsNo serological markers[74]No serological markers[74]
Risk factorsSmoking and extracranial arteries[4]Hypoxia and shock or other vasoconstrictor stimuli[47]
Vascular distributionRenal and extracranial arteries[4]Celiac and mesenteric arteries[48]
CTAlternating stenosis and aneurysms, less commonly dissections[38]Dissections with alternating stenosis and aneurysms, dissecting aneurysms[48]
AngiographyBeaded aneurysmal appearance (string-of-beads)[38]Beaded aneurysmal appearance (string-of-beads)[38]
PathologyFibrous or fibromuscular thickening of the arterial wall[38]Vecuolization and lysis of the outer media[47]
SymptomsRenovascular hypertension, Headache, Pulsatile tinnitus[4]Acute abdominal pain, Intraperitoneal bleeding[47]
TreatmentAnti-platelet therapy and anti-hypertensive therapy. Balloon angioplasty and stenting[45]Anti-hypertensive therapy and endovascular management, surgical management[74]