Document Detail

An unusual presentation of periarteritis nodosa.
MedLine Citation:
PMID:  2895598     Owner:  NLM     Status:  MEDLINE    
Periarteritis nodosa is characterized by generalized inflammation of medium and small arteries that leads to thrombosis or aneurysmal dilatation. We report the case of a 30-year-old man with no preceding signs or symptoms who presented initially with a chief complaint of mild abdominal pain. He deteriorated clinically during the next six to eight hours, and developed shock secondary to a ruptured aneurysm of the left gastric artery. His postoperative course was complicated by recurrent bleeding and death within 48 hours. Our case represents a protean clinical manifestation of periarteritis nodosa and expands the differential diagnosis of acute abdominal pain.
D M Siegel; S F Siegel
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of emergency medicine     Volume:  17     ISSN:  0196-0644     ISO Abbreviation:  Ann Emerg Med     Publication Date:  1988 Apr 
Date Detail:
Created Date:  1988-04-27     Completed Date:  1988-04-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8002646     Medline TA:  Ann Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  365-7     Citation Subset:  AIM; IM    
Department of Emergency Medicine, Jefferson Hospital, Pittsburgh, Pennsylvania 15236.
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MeSH Terms
Aneurysm / etiology
Diagnosis, Differential
Pain / etiology
Polyarteritis Nodosa / complications,  diagnosis*,  radiography
Renal Artery / radiography
Rupture, Spontaneous
Stomach / blood supply

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