A Case of Polyarteritis Nodosa That Presented as Hemobilia.
- Author:
Joo Wook SUNG
1
;
Yun Jeong LIM
;
Jae Hyun KWON
;
Kyung Jo KIM
;
Jin Ho LEE
Author Information
1. Departments of Internal Medicine, Dongguk University College of Medicine, Goyang, Korea. limyj@duih.org
- Publication Type:Case Report
- Keywords:
Polyarteritis nodosa;
Hemobilia;
Gastrointestinal bleeding
- MeSH:
Abdominal Pain;
Aneurysm;
Arteries;
Arthralgia;
Bile Ducts;
Biliary Tract;
Cholecystitis;
Fever;
Gastrointestinal Hemorrhage;
Hemobilia;
Hemorrhage;
Hepatic Artery;
Humans;
Infarction;
Jaundice;
Liver;
Liver Abscess;
Mesentery;
Polyarteritis Nodosa;
Rupture;
Sweat;
Vasculitis;
Weight Loss
- From:Korean Journal of Gastrointestinal Endoscopy
2009;38(6):364-367
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hemobilia is defined as hemorrhage into the biliary tract, and the patients with hemobilia present with abdominal pain, jaundice and gastrointestinal bleeding. The causes of hemobilia are traumatic or operative injury to the liver or bile ducts, intraductal rupture of the hepatic abscess or aneurysm of the hepatic artery. Cholecystitis can also develop in patients with hemobilia. Polyarteritis nodosa (PAN) is a multisystem, necrotizing vasculitis of the small and medium-sized muscular arteries and patients with this illness may present with fever, sweats, weight loss, severe arthralgia and myalgia. Mesentery artery involvement that can result in gastrointestinal hemorrhage, bowel infarction and perforation is rare, yet very serious in patients with PAN. We report here on a rare case of PAN that presented as hemobilia due to rupture of a hepatic arterial aneurysm.
