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Spontaneous Retroperitoneal Hematoma: A Rare Presentation of Polyarteritis Nodosa

Spontaneous retroperitoneal hematoma is a rare clinical entity that is most commonly caused by renal tumors and vascular disease. In this article, we present a case of spontaneous retroperitoneal hemorrhage caused by polyarteritis nodosa in a patient who presented with severe left flank pain. He und...

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Autores principales: Ullah, Asad, Marwat, Asghar, Suresh, Krithika, Khalil, Ahmed, Waseem, Saba
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6593925/
https://www.ncbi.nlm.nih.gov/pubmed/31234656
http://dx.doi.org/10.1177/2324709619858120
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author Ullah, Asad
Marwat, Asghar
Suresh, Krithika
Khalil, Ahmed
Waseem, Saba
author_facet Ullah, Asad
Marwat, Asghar
Suresh, Krithika
Khalil, Ahmed
Waseem, Saba
author_sort Ullah, Asad
collection PubMed
description Spontaneous retroperitoneal hematoma is a rare clinical entity that is most commonly caused by renal tumors and vascular disease. In this article, we present a case of spontaneous retroperitoneal hemorrhage caused by polyarteritis nodosa in a patient who presented with severe left flank pain. He underwent computed tomography angiography of his abdomen that showed left retroperitoneal hematoma, which was followed by arteriogram that showed multiple bilateral renal artery aneurysms with active extravasation, findings consistent with polyarteritis nodosa. The patient underwent successful coiling of the bleeding vessel that secured the bleeding and was started on high-dose prednisone, which resulted in resolution of his symptoms.
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spelling pubmed-65939252019-07-01 Spontaneous Retroperitoneal Hematoma: A Rare Presentation of Polyarteritis Nodosa Ullah, Asad Marwat, Asghar Suresh, Krithika Khalil, Ahmed Waseem, Saba J Investig Med High Impact Case Rep Case Report Spontaneous retroperitoneal hematoma is a rare clinical entity that is most commonly caused by renal tumors and vascular disease. In this article, we present a case of spontaneous retroperitoneal hemorrhage caused by polyarteritis nodosa in a patient who presented with severe left flank pain. He underwent computed tomography angiography of his abdomen that showed left retroperitoneal hematoma, which was followed by arteriogram that showed multiple bilateral renal artery aneurysms with active extravasation, findings consistent with polyarteritis nodosa. The patient underwent successful coiling of the bleeding vessel that secured the bleeding and was started on high-dose prednisone, which resulted in resolution of his symptoms. SAGE Publications 2019-06-24 /pmc/articles/PMC6593925/ /pubmed/31234656 http://dx.doi.org/10.1177/2324709619858120 Text en © 2019 American Federation for Medical Research http://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution 4.0 License (http://www.creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Ullah, Asad
Marwat, Asghar
Suresh, Krithika
Khalil, Ahmed
Waseem, Saba
Spontaneous Retroperitoneal Hematoma: A Rare Presentation of Polyarteritis Nodosa
title Spontaneous Retroperitoneal Hematoma: A Rare Presentation of Polyarteritis Nodosa
title_full Spontaneous Retroperitoneal Hematoma: A Rare Presentation of Polyarteritis Nodosa
title_fullStr Spontaneous Retroperitoneal Hematoma: A Rare Presentation of Polyarteritis Nodosa
title_full_unstemmed Spontaneous Retroperitoneal Hematoma: A Rare Presentation of Polyarteritis Nodosa
title_short Spontaneous Retroperitoneal Hematoma: A Rare Presentation of Polyarteritis Nodosa
title_sort spontaneous retroperitoneal hematoma: a rare presentation of polyarteritis nodosa
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6593925/
https://www.ncbi.nlm.nih.gov/pubmed/31234656
http://dx.doi.org/10.1177/2324709619858120
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