Abstract
Abstract:Polyarteritis nodosa (PAN) is a necrotizing vasculitis and may affect multiple organ systems. Due to the rupture of microaneurysms, perirenal hematomas may occur in both kidneys. Spontaneous perirenal hematoma is an infrequent complication of isolated PAN. Also, involvement of the splenic arteries is a rare occurrence in polyarteritis nodosa. Perirenal hematoma rupture is a serious clinical condition. Patients with life-threatening visceral bleeding must be treated with a selective embolization procedure or radical surgery because nonoperative management has been associated with a significant mortality rate.
This content is limited to qualifying members.
If you have an existing account please login now to access this article or view purchase options.
Create a free account, then purchase this article to download or access it online for 24 hours.
Create a free account, then purchase a subscription to get complete access to all articles for a full year.
References
References1.Valente RM, Conn DL. Polyarteritis–Polyarteritis Nodosa and Microscopic Polyangiitis, in Klippel JH, Dieppe PA (eds): Rheumatology. London, Mosby, 1998, ed 2, pp 1–10.2.Lightfoot RW, Michet BA, Bloch DA, et al. The American College of Rheumatology 1990 criteria for the classification of polyarteritis nodosa. Arthritis Rheum 1990;33:1088–1093.LightfootRW]]MichetBA]]BlochDA&etal;The American College of Rheumatology 1990 criteria for the classification of polyarteritis nodosa.Arthritis Rheum1990331088-10933.Sagcan A, Tunc E, Keser G, et al. Spontaneous bilateral perirenal hematoma as a complication of polyarteritis nodosa in a patient with human immunodeficiency virus infection. Rheumatol Int 2002;21:239–242.SagcanA]]TuncE]]KeserG&etal;Spontaneous bilateral perirenal hematoma as a complication of polyarteritis nodosa in a patient with human immunodeficiency virus infection.Rheumatol Int200221239-2424.Kabaoğlu B, Coşkun H, Yanar H, et al. A rare case of splenic infarct presenting with acute abdomnal pain due to polyarteritis nodosa: case report and review of the literature. Ulus Travma Acil Cerrahi Derg 2005;11:242–246.KabaoğluB]]CoşkunH]]YanarH&etal;A rare case of splenic infarct presenting with acute abdomnal pain due to polyarteritis nodosa: case report and review of the literature.Ulus Travma Acil Cerrahi Derg200511242-2465.Iuliano L, Gurgo A, Gualdi G, et al. Succeeding onset of hepatic, splenic, and renal infarction in polyarteritis nodosa. Am J Gastroenterol 2000;95:1837–1838.IulianoL]]GurgoA]]GualdiG&etal;Succeeding onset of hepatic, splenic, and renal infarction in polyarteritis nodosa.Am J Gastroenterol2000951837-18386.Nguyen VD. A rare cause of splenic infarct and fleeting pulmonary infiltrates: polyarteritis nodosa. Comput Med Imaging Graph 1991;15:61–65.NguyenVDA rare cause of splenic infarct and fleeting pulmonary infiltrates: polyarteritis nodosa.Comput Med Imaging Graph19911561-657.Hekali P, Kajander H, Pajari R, et al. Diagnostic significance of angiographically observed visceral aneurysms with regard to polyarteritis nodosa. Acta Radiol 1991;32:143–148.HekaliP]]KajanderH]]PajariR&etal;Diagnostic significance of angiographically observed visceral aneurysms with regard to polyarteritis nodosa.Acta Radiol199132143-1488.Schouffoer AA, Siegert CE, Arend SM, et al. Embolization of a ruptured aneurysm in classic polyarteritis nodosa presenting as perirenal hematoma. Arch Intern Med 1998;158:1466–1468.SchouffoerAA]]SiegertCE]]ArendSM&etal;Embolization of a ruptured aneurysm in classic polyarteritis nodosa presenting as perirenal hematoma.Arch Intern Med19981581466-1468
