Polyarteritis nodosa presenting with necrotising appendicitis and hepatic aneurysm rupture.
Polyarteritis nodosa is a necrotizing vasculitis which affects small and medium-sized arteries. The clinical features of the disease vary according to the site and extent of involvement. Aneurysmal dilatation and thrombosis in the arteries of the liver and gastrointestinal tract have been reported in polyarteritis nodosa. However, rupture of the hepatic aneurysm and necrotizing appendicitis due to polyarteritis nodosa are uncommon; indeed a case in which these have occurred together has not been reported to date. In this case report, a patient with necrotizing appendicitis and hepatic aneurysm rupture due to underlying poliarteritis nodasa is presented. Extensive intraabdominal hematoma and appendicitis were treated surgically and complete recovery was achieved.
Department of Gastrointestinal Surgery, Türkiye Yüksek Ihtisas Hospital, Ankara, Turkey. fozcay@superonline.com
Necdet
N
Ozçay
Kemal
K
Arda
Tonguç
T
Sugüneş
Deniz
D
Ozdemirel
Gülden
G
Aydoğ
Fuat
F
Atalay
Musa
M
Akoğlu
D017542:Aneurysm, Ruptured / Q000175:diagnosis* / Q000601:surgery; D001062:Appendectomy / Q000379:methods; D001064:Appendicitis / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006499:Hepatic Artery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D010488:Polyarteritis Nodosa / Q000175:diagnosis* / Q000534:rehabilitation; D018570:Risk Assessment; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014656:Vascular Surgical Procedures / Q000379:methods