M. J. A. ALLEMAN, M.D.; A. R. JANSSENS, M.D.; P. SPOELSTRA, M.D.; H. M. J. A. KROON, M.D.
ALLEMAN MJA, JANSSENS AR, SPOELSTRA P, KROON HMJA. Spontaneous Intrahepatic Hemorrhages in Polyarteritis Nodosa. Ann Intern Med. 1986;105:712-713. doi: 10.7326/0003-4819-105-5-712
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Published: Ann Intern Med. 1986;105(5):712-713.
Bleeding into the peritoneal cavity or the lumen of the gastrointestinal tract is common in polyarteritis nodosa and is usually caused by a ruptured aneurysm or a local vasculitis (1, 2). Although the arteries of the liver are frequently affected in polyarteritis nodosa, the hepatic arteritis rarely has clinical consequences and rupture of an aneurysm in this organ is unusual (3-6).
A 33-year-old man was admitted to our hospital. At age 29, moderately severe renal insufficiency and hypertension had been found. The diagnosis was unclassified chronic nephritis. At age 30 a renal cyst and a renal hematoma were found at
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