Successful coil embolization of a ruptured hepatic aneurysm in a patient with polyarteritis nodosa accompanied by angioimmunoblastic T cell lymphoma.
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.
Nakashima
Masahiro
M
Internal Medicine, Division of Rheumatology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan. nakashimauma@yahoo.co.jp
Suzuki
Kimihiro
K
Okada
Makoto
M
Takada
Kunio
K
Kobayashi
Hiroyuki
H
Hama
Yukihiro
Y
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*