Document Detail

Multiple hepatic artery aneurysms in a patient with systemic lupus erythematosus.
MedLine Citation:
PMID:  19884215     Owner:  NLM     Status:  MEDLINE    
CASE HISTORY: We present the case of a 56-year-old woman with SLE who developed three episodes of gastrointestinal (GI) bleeding without evidence of lesions in the GI tract. Multiple aneurysms of the hepatic artery were identified and treated with endovascular embolization, with no further GI bleeding. After embolization, the patient developed multiple bilomas that required percutaneous drainage, and subsequent abscesses which eventually resolved without further complications.
CONCLUSION: Hepatic aneurysms, possibly secondary to vasculitis, may cause GI bleeding, and should be suspected in patients with SLE and GI bleeding with no apparent cause identifiable through standard endoscopy of the upper and lower GI tract.
E N Pollono; D C Madoff; S C Spence; M E Suarez-Almazor
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.     Date:  2009-11-02
Journal Detail:
Title:  Lupus     Volume:  19     ISSN:  1477-0962     ISO Abbreviation:  Lupus     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-01-06     Completed Date:  2010-03-10     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  9204265     Medline TA:  Lupus     Country:  England    
Other Details:
Languages:  eng     Pagination:  93-5     Citation Subset:  IM    
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MeSH Terms
Aneurysm / diagnosis,  etiology*,  therapy
Embolization, Therapeutic
Hepatic Artery*
Lupus Erythematosus, Systemic / complications*
Middle Aged
Grant Support
U18 HS016093/HS/AHRQ HHS

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