Spontaneous retroperitoneal bleeding from renal microaneurysms and pancreatic pseudocyst in a patient with systemic lupus erythematosus.
Visceral vasculitis and pancreatic pseudocyst are rare manifestations of systemic lupus erythematosus (SLE). We describe a patient with SLE who presented with spontaneous bilateral perinephric and retroperitoneal haematoma secondary to polyarteritis nodosa (PAN)-like vasculitis of the renal arteries, which subsequently evolved into systemic vasculitis with pancreatic pseudocyst formation.
Melamed
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N
Rheumatology Unit, Rabin Medical Centre, Beilinson Campus, Petah Tiqva, Israel. nirm@clalit.org.il
Molad
Y
Y
D000783:Aneurysm / Q000209:etiology* / Q000473:pathology; D006406:Hematoma / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008297:Male; D010179:Pancreas / Q000473:pathology; D010192:Pancreatic Pseudocyst / Q000209:etiology* / Q000473:pathology; D012077:Renal Artery / Q000473:pathology*; D012187:Retroperitoneal Space / Q000473:pathology