title: Successful coil embolization of a ruptured hepatic aneurysm in a patient with polyarteritis nodosa accompanied by angioimmunoblastic T cell lymphoma.
abstract: Polyarteritis nodosa (PN) occasionally develops in association with malignant disorders. A 71-year-old man suddenly suffered from bleeding due to the rupture of a hepatic artery aneurysm. The ruptured lesion was embolized endovascularly by coiling, and the bleeding was stopped. A biopsy of the right inguinal lymph node demonstrated angioimmunoblastic T cell lymphoma (AITL). He received immunosuppressive treatment with transient response, although he relapsed 4 months later. To our knowledge, this is the first case of which PN was associated with AITL.
authors.affiliation: Internal Medicine, Division of Rheumatology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan. nakashimauma@yahoo.co.jp
authors.forename: Masahiro
authors.initials: M
authors.lastname: Nakashima
authors.forename: Kimihiro
authors.initials: K
authors.lastname: Suzuki
authors.forename: Makoto
authors.initials: M
authors.lastname: Okada
authors.forename: Kunio
authors.initials: K
authors.lastname: Takada
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kobayashi
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Hama
mesh_terms: D000368:Aged; D017542:Aneurysm, Ruptured / Q000150:complications / Q000628:therapy*; D004621:Embolization, Therapeutic; D006499:Hepatic Artery / Q000473:pathology*; D006801:Humans; D007119:Immunoblastic Lymphadenopathy / Q000150:complications* / Q000473:pathology; D016399:Lymphoma, T-Cell / Q000150:complications / Q000473:pathology; D008297:Male; D010488:Polyarteritis Nodosa / Q000150:complications*