A Case of Death Due to Spontaneous Intraperitoneal Bleeding in P-ANCA Positive Small Vessel Vasculitis.
- Author:
Seong Ho IM
1
;
Kyu Beck LEE
;
Bum Joon PARK
;
Hyun Seung KIM
;
Eun Mi PARK
;
Ji Youn KIM
;
Hyang KIM
;
Si Young LIM
;
Eun Cheol JUNG
;
Young Lae LEE
;
Chan Pill PARK
;
Moon Hyang PARK
Author Information
1. Department of Internal Medcine, Sungkuynkwan University, School of Medcine, Kangbuk Samsung Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
P-ANCA small vessel vasculitis;
Artery rupture
- MeSH:
Antibodies, Antineutrophil Cytoplasmic*;
Arteries;
Biopsy;
Diagnosis;
Gastroepiploic Artery;
Glomerulonephritis;
Hematuria;
Hemorrhage*;
Humans;
Kidney;
Middle Aged;
Rupture, Spontaneous;
Vasculitis*;
Wegener Granulomatosis;
Weight Loss
- From:Korean Journal of Nephrology
2001;20(6):1088-1092
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
P-ANCA small vessel vasculitis is multisystemic disease, especially frequently involving the kidney. Diagnosis is delayed because it's non-specific clinical manifestation. Recently ANCA becomes available tools for diagnosis of vasculitis. Infection and gastrointestinal complications are relatively common in vasculitis. But spontaneous rupture of gastrointestinal artery is a rare complication. A 61-year-old housewife was admitted due to poor oral intake, weight loss and microscopic hematuria. Renal biopsy showed an extensive necrotizing glomerulonephritis, consistent with Wegener's granulomatosis or microscopic polyangitis. Serum test showed positive for P-ANCA. Despite steroid therapy, she expired due to spontaneous rupture of right gastroepiploic artery.
