Hemobilia as presenting manifestation of polyarteritis nodosa.
Polyarteritis nodosa (PAN) is a multisystem necrotizing inflammatory vasculitis of medium-sized muscular arteries. Hepatobiliary complications secondary to thrombosis or aneurysm formation in PAN are rare and are associated with poor outcome. We describe an 18-year-old man with PAN who presented with hemobilia secondary to rupture of a hepatic artery aneurysm, which was successfully managed with coil embolization followed by immunosuppressive therapy.
Dutta
Usha
U
Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh 160 012. ushad@satyam.net.in
Rana
S S
SS
Lal
A
A
Sinha
S K
SK
Khandelwal
N
N
Singh
Kartar
K
D000293:Adolescent; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000628:therapy*; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic / Q000379:methods; D005500:Follow-Up Studies; D006431:Hemobilia / Q000175:diagnosis* / Q000628:therapy; D006499:Hepatic Artery; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008297:Male; D010488:Polyarteritis Nodosa / Q000175:diagnosis* / Q000188:drug therapy; D011859:Radiography; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome
D007166:Immunosuppressive Agents