Successful nonoperative management of acute intraperitoneal hemorrhage due to undiagnosed polyarteritis nodosa.
We present a rare case of polyarteritis nodosa (PAN), where the initial presentation was intraperitoneal hemorrhage. The diagnosis was confirmed on angiography, and the patient was managed medically without laparotomy. PAN is an extremely rare cause of spontaneous intraperitoneal bleeding but must be carefully considered in the differential diagnosis in order to insure appropriate management of this group of patients.
Dauphine
Christine
C
Department of General Surgery, Harbor-UCLA Medical Center, 1000 West Carson Street, Box 25, Torrance, CA, 90509, USA.
Kovar
Jeff
J
de Virgilio
Christian
C
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000792:Angiography; D003520:Cyclophosphamide / Q000627:therapeutic use; D005260:Female; D006470:Hemorrhage / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008638:Mesenteric Arteries; D008875:Middle Aged; D010529:Peritoneal Cavity; D010488:Polyarteritis Nodosa / Q000150:complications* / Q000000981:diagnostic imaging* / Q000188:drug therapy; D014057:Tomography, X-Ray Computed
D000305:Adrenal Cortex Hormones; D007166:Immunosuppressive Agents; D003520:Cyclophosphamide