Abstract
A 52-year-old woman presented with severe acute right upper quadrant abdominal pain and signs of intra-abdominal haemorrhage. CT and selective angiography revealed a ruptured right hepatic artery aneurysm and diffuse aneurysmatic disease involving most intra-abdominal organs, suggestive of polyarteritis nodosa. Although treatment with high-dose steroids was initiated, the patient died of progressive bowel ischaemia.
2015 BMJ Publishing Group Ltd.
MeSH terms
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Aneurysm, Ruptured / diagnosis*
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Aneurysm, Ruptured / pathology
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Aneurysm, Ruptured / therapy
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Diagnosis, Differential
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Embolization, Therapeutic / methods
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Female
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Hepatic Artery / diagnostic imaging
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Hepatic Artery / pathology*
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Humans
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Liver Diseases / diagnosis*
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Liver Diseases / diagnostic imaging
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Liver Diseases / pathology
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Liver Diseases / therapy
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Middle Aged
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Polyarteritis Nodosa / diagnosis*
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Polyarteritis Nodosa / pathology
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Polyarteritis Nodosa / therapy
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Radiography
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Steroids / therapeutic use
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Treatment Outcome