[Spontaneous splenic and renal rupture in polyarteritis nodosa].

Aktuelle Radiologie Pub Date : 1998-09-01
M Siebels, K Andrassy, G Nöldge, R Sanwald
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Abstract

Classic polyarteritis nodosa (PAN) is a rare necrotising vasculitis and can result in intrarenal or perirenal bleeding because of aneurysm formation. This report describes the case of a patient with severe manifestation of PAN who developed a subcapsular hematoma from a spontaneously ruptured aneurysm in the spleen and a retroperitoneal hematoma from a renal cortex aneurysm. For the first time angiographic controls have been documented over years in this disease. The value of angiographic procedures for diagnosis and for evaluation of the disease course of PAN is discussed.

结节性多动脉炎自发性脾、肾破裂。
典型结节性多动脉炎(PAN)是一种罕见的坏死性血管炎,可因动脉瘤形成而导致肾内或肾周出血。本报告描述了一例严重表现为PAN的患者,他因脾动脉瘤自发破裂而发展为囊下血肿,并因肾皮质动脉瘤而发展为腹膜后血肿。多年来,血管造影控制首次被记录在这种疾病中。本文讨论了血管造影对PAN的诊断和病程评价的价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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