• Hepato Gastroenterol · Jan 1997

    Case Reports

    Massive intrahepatic hemorrhage as first manifestation of polyarteritis nodosa.

    • W Schröder, K Brandstetter, H Vogelsang, W Nathrath, and J R Siewert.
    • Department of Surgery, Technische Universität München, Germany.
    • Hepato Gastroenterol. 1997 Jan 1; 44 (13): 148-52.

    AbstractA case of an acute abdomen caused by a massive intrahepatic hemorrhage in a 77-year old man is presented. The hemorrhage was the first manifestation of an underlying polyarteritis nodosa which had not been diagnosed prior to the event. The diagnosis was suspected after a preoperatively performed angiography, surgical treatment was required to control the bleeding. This case demonstrates the differential diagnosis of acute intrahepatic hemorrhage which includes rare causes of vasculitis.

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