Medical College of Wisconsin
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Spontaneous liver haemorrhage and haemobilia as initial presentation of undiagnosed polyarteritis nodosa. Ann R Coll Surg Engl 2012 May;94(4):e163-5

Date

05/23/2012

Pubmed ID

22613289

Pubmed Central ID

PMC5827234

DOI

10.1308/003588412X13171221590737

Scopus ID

2-s2.0-84862870783 (requires institutional sign-in at Scopus site)   16 Citations

Abstract

Polyarteritis nodosa (PAN) is a systemic necrotising vasculitis that could result in multifocal aneurysms of visceral arteries. Isolated multiple aneurysms of the hepatic arteries in the setting of PAN is extremely rare. Patients are typically asymptomatic and, very rarely, spontaneous rupture with life threatening haemorrhage could be the initial presentation of an undiagnosed PAN. Accurate diagnosis, effective haemostasis and prompt initiation of immunosuppressive treatment with the help of a multidisciplinary team will improve the clinical outcomes.

Author List

Battula N, Tsapralis D, Morgan M, Mirza D

Author

Narendra Battula MD Associate Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Aged
Aneurysm, Ruptured
Female
Hemobilia
Hemorrhage
Hepatic Artery
Humans
Incidental Findings
Liver Diseases
Male
Polyarteritis Nodosa
Radiography