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DSA showing (A and B) ectatic, tortuous, and kinked right ICA, (C) dissection with complete occlusion of left ICA (yellow arrow), (D) beaded V2 segment of left vertebral artery (VA; green arrow), (E) dissecting aneurysm in V1 segment of right VA (blue arrow), and (F) saccular aneurysm in V4 segment of right VA (red arrow). ICA, internal carotid; DSA, digital subtraction angiography;

DSA showing (A and B) ectatic, tortuous, and kinked right ICA, (C) dissection with complete occlusion of left ICA (yellow arrow), (D) beaded V2 segment of left vertebral artery (VA; green arrow), (E) dissecting aneurysm in V1 segment of right VA (blue arrow), and (F) saccular aneurysm in V4 segment of right VA (red arrow). ICA, internal carotid; 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...