Spontaneous liver haemorrhage and haemobilia as initial presentation of undiagnosed polyarteritis nodosa

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...

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Bibliographic Details
Published in:Annals of the Royal College of Surgeons of England 2012-05, Vol.94 (4), p.e163-e165
Main Authors: Battula, N, Tsapralis, D, Morgan, M, Mirza, D
Format: Article
Language:English
Subjects:
Aged
Aneurysm, Ruptured - diagnostic imaging
Female
Hemobilia - diagnostic imaging
Hemobilia - etiology
Hemorrhage - diagnostic imaging
Hemorrhage - etiology
Hepatic Artery - diagnostic imaging
Humans
Incidental Findings
Liver Diseases - diagnostic imaging
Liver Diseases - etiology
Male
Online Case Report
Polyarteritis Nodosa - complications
Polyarteritis Nodosa - diagnostic imaging
Radiography
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Description
Summary: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.
ISSN:0035-8843
1478-7083
DOI:10.1308/003588412X13171221590737