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DSA of both carotids showing tortuousity, ectasia, and kinking. Beaded left carotid (yellow arrow). DSA, digital subtraction angiography.

DSA of both carotids showing tortuousity, ectasia, and kinking. Beaded left carotid (yellow arrow). DSA, digital subtraction angiography.

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Segmental arterial mediolysis (SAM) is a rare noninflammatory vasculopathy predominantly involving the visceral arteries of the abdomen. The most common presentation described is massive intra-abdominal hemorrhage secondary to aneurysm rupture. In this report, we describe two cases with characteristic findings of aneurysm, dissection, and beading i...