Massive intrahepatic hemorrhage as first manifestation of polyarteritis nodosa.
A case of an acute abdomen caused by a massive intrahepatic hemorrhage in a 77-year old man is presented. The hemorrhage was the first manifestation of an underlying polyarteritis nodosa which had not been diagnosed prior to the event. The diagnosis was suspected after a preoperatively performed angiography, surgical treatment was required to control the bleeding. This case demonstrates the differential diagnosis of acute intrahepatic hemorrhage which includes rare causes of vasculitis.
Schröder
W
W
Department of Surgery, Technische Universität München, Germany.
Brandstetter
K
K
Vogelsang
H
H
Nathrath
W
W
Siewert
J R
JR
D000006:Abdomen, Acute / Q000209:etiology; D000368:Aged; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006406:Hematoma / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008099:Liver / Q000473:pathology; D008107:Liver Diseases / Q000209:etiology* / Q000473:pathology; D008297:Male; D010488:Polyarteritis Nodosa / Q000150:complications* / Q000175:diagnosis / Q000473:pathology