Hemobilia as presenting manifestation of polyarteritis nodosa.

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2004-03-05
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Abstract
Polyarteritis nodosa (PAN) is a multisystem necrotizing inflammatory vasculitis of medium-sized muscular arteries. Hepatobiliary complications secondary to thrombosis or aneurysm formation in PAN are rare and are associated with poor outcome. We describe an 18-year-old man with PAN who presented with hemobilia secondary to rupture of a hepatic artery aneurysm, which was successfully managed with coil embolization followed by immunosuppressive therapy.
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Dutta U, Rana SS, Lal A, Sinha SK, Khandelwal N, Singh K. Hemobilia as presenting manifestation of polyarteritis nodosa. Indian Journal of Gastroenterology. 2004 Mar-Apr; 23(2): 71-2