Hemobilia as presenting manifestation of polyarteritis nodosa
Dutta, U.; Rana, S.S.; Lal, A.; Sinha, S.K.; Khandelwal, N.; Singh, K.
Indian Journal of Gastroenterology Official Journal of the Indian Society of Gastroenterology 23(2): 71-72
2004
ISSN/ISBN: 0254-8860 PMID: 15176541 Document Number: 580927
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.