Hepatic hemorrhage in malignant rheumatoid arthritis.
Intrahepatic hemorrhage is a serious and life-threatening complication in liver disease. We describe a patient who had two episodes of intrahepatic hemorrhage after having malignant rheumatoid arthritis for 8 yr. Abdominal CT scans revealed a large intrahepatic, subcapsular hematoma. Arteriography demonstrated irregularity, caliber change, and pseudoaneurysms of the right hepatic artery, suggesting vasculitis as a cause of the bleeding. The hemorrhage was first treated with transcatheter arterial embolization, which failed to exert long term control, but arterial infusion of a large dose of prednisolone when the hemorrhage appeared was successful in managing it.
Mizuno
K
K
Iwata City General Hospital, Shizuoka, Nagoya City University Medical School, Japan.
Ikeda
K
K
Saida
Y
Y
Takenaka
R
R
Shibata
M
M
Takeuchi
T
T
D000328:Adult; D001172:Arthritis, Rheumatoid / Q000150:complications*; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D008297:Male; D014057:Tomography, X-Ray Computed; D014657:Vasculitis / Q000150:complications*