title: [A case of polyarteritis nodosa with intra-abdominal bleeding due to rupture of the hepatic aneurysm].
abstract: A 39-year-old woman was admitted to our hospital because of abdominal pain. She was diagnosed as intra-abdominal bleeding and an emergency laparotomy was performed. On laparotomy, massive bleeding in the abdominal cavity due to a ruptured aneurysm of the intrahepatic artery was found. We also verified small aneurysm of the common hepatic artery, tinged with red, and was suspected systemic vasculitis. The post-operative course was uneventful, but the subsequent angiography revealed many other small aneurysm of hepatic, renal and lumbar aytery. Then it was diagnosed as polyarteritis nodosa. A case of polyarteritis nodosa presenting with intra-abdominal homorrhage like this case is rare, so we presented here together with a review of the literature.
authors.affiliation: Department of Surgery, Baba Memorial Hospital.
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Teraoka
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Takeuchi
authors.forename: Katsunobu
authors.initials: K
authors.lastname: Sakurai
authors.forename: Atsunori
authors.initials: A
authors.lastname: Nitta
mesh_terms: D015746:Abdominal Pain / Q000209:etiology* / Q000601:surgery; D000328:Adult; D017542:Aneurysm, Ruptured / Q000209:etiology* / Q000628:therapy; D004621:Embolization, Therapeutic; D005260:Female; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D006499:Hepatic Artery; D006801:Humans; D010488:Polyarteritis Nodosa / Q000150:complications*; D011860:Radiography, Abdominal