Spontaneous intraabdominal haemorrhage caused by segmental mediolytic arteritis in a patient with systemic lupus erythematosus--an underestimated entity of autoimmune origin?
We describe the sixth known case of segmental mediolytic arteritis and the third in a survivor. A 70-year-old woman had intraabdominal bleeding due to a ruptured aneurysm of the omental artery. Interestingly, this patient also had a systemic lupus erythematosus. This report gives further support to the role of immune abnormalities underlying segmental mediolytic arteritis.
Juvonen
T
T
Department of Surgery, Oulu University Hospital, Finland.
Niemelä
O
O
Reinilä
A
A
Nissinen
J
J
Kairaluoma
M I
MI
D000368:Aged; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D015901:Angiography, Digital Subtraction; D001158:Arteries / Q000473:pathology; D001167:Arteritis / Q000150:complications* / Q000000981:diagnostic imaging / Q000276:immunology / Q000473:pathology; D005260:Female; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D009852:Omentum / Q000098:blood supply; D012422:Rupture, Spontaneous