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Gastrointestinal Bleeding Secondary to Hepatic Artery Involvement of Microscopic Polyangiitis: Case Report and Review of the Literature

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References

  1. Guillevin L, Durand-Gasselin B, Cevallos R, Gayraud M, Lhote F, Callard P, Amouroux J, Casassus P, Jarrousse B (1999) Microscopic polyangiitis: clinical and laboratory findings in eighty-five patients. Arth Rheum 42:421–430

    Article  CAS  Google Scholar 

  2. Hogan SL, Nachman PH, Wilkman AS, Jennette JC, Falk RJ (1996) Prognostic markers in patients with antineutrophil cytoplasmic autoantibody-associated microscopic polyangiitis and glomerulonephritis. J Am Soc Nephrol 7:23–32

    PubMed  CAS  Google Scholar 

  3. Collins DA, Duke O (1995) Systemic vasculitis presenting with massive bowel infarction. J R Soc Med 88:692–693

    PubMed  CAS  Google Scholar 

  4. Jennette JC, Falk RJ, Andrassy K, Bacon PA, Churg J, Gross WL, Hagen EC, Hoffman GS, Hunder GG, Kallenberg CG (1994) Nomenclature of systemic vasculitides. Proposal of an international consensus conference. Arth Rheum 37:187– 192

    CAS  Google Scholar 

  5. Woodworth TG, Abuelo JG, Austin HA, Esparza A (1987) Severe glomerulonephritis with late emergence of classic Wegener's granulomatosis. Report of 4 cases and review of literature. Medicine 66:181–191

    CAS  Google Scholar 

  6. Conn D, Hunder G, O'Dufy J (1993) Vasculitis and related disorders. In Textbook of rheumatology. W Kelly, E Harris, S Ruddy, C Sledge (eds). WB Saunders, Philadelphia, pp 1079–1084

    Google Scholar 

  7. Valente R, Conn D (1998) Polyarteritis-polyarteritis nodosa and microscopic polyangiitis. In Rheumatology. J Kippel, P Deppe (eds). Mosby, London, pp 7,20.21–27,20.10

    Google Scholar 

  8. Mowrey FH, Lundberg EA (1954) The clinical manifestations of essential polyanglitis (periarteritis nodosa), with emphasis on the hepatic manifestations. Ann Intern Med 40:1145–1164

    PubMed  CAS  Google Scholar 

  9. Travers RL, Allison DJ, Brettle RP, Hughes GR (1979) Polyarteritis nodosa: a clinical and angiographic analysis of 17 cases. Semin Arth Rheum 8:184–199

    Article  CAS  Google Scholar 

  10. Guillevin L, Lhote F, Brauner M, Casassus P (1995) Antineutrophil cytoplasmic antibodies (ANCA) and abnormal angiograms in polyarteritis nodosa and Churg-Strauss syndrome:indications for the diagnosis of microscopic polyangiitis. Ann Med Interne (Paris) 146:548–550

    CAS  Google Scholar 

  11. Painter RW (1971) Sequential gastrointestinal complications of polyarteritis nodosa. Am J Gastroenterol 55:383–386

    PubMed  CAS  Google Scholar 

  12. Cabal E, Holtz S (1971) Polyarteritis as a cause of intestinal hemorrhage. Gastroenterology 61:99–105

    PubMed  CAS  Google Scholar 

  13. Han SY, Jander HP, Laws HL (1976) Polyarteritis nodosa causing severe intestinal bleeding. Gastrointest Radiol 1:285–287

    Article  PubMed  CAS  Google Scholar 

  14. Shin MS, Ho KJ (1977) Malignant hypertension as a cause of massive intestinal bleeding. Am J Surg 133:742– 744

    Article  PubMed  CAS  Google Scholar 

  15. Roikjaer O (1987) Perforation and necrosis of the colon complicating polyarteritis nodosa. Case report. Acta Chir Scand 153:385–386

    CAS  Google Scholar 

  16. Kotiloglu E, Caglar M, Akyuz C, Hazar V, Koyuncuoglu N (1993) Vasculitis as a cause of diarrhea and gastrointestinal hemorrhage:a case report. Pediatr Pathol 13:127–132

    PubMed  CAS  Google Scholar 

  17. Yazici Z, Savci G, Parlak M, Tuncel E (1997) Polyarteritis nodosa presenting with hemobilia and intestinal hemorrhage. Eur Radiol 7:1059–1061

    Article  PubMed  CAS  Google Scholar 

  18. Inaguma D, Kurata K, Ishihara S, Machida H, Yaomura T, Kumon S (1998) [A case of MPO-ANCA-related vasculitis that recurred as gastrointestinal bleeding and presented difficulty in treatment]. Nippon Jinzo Gakkai Shi 40:560–565

    PubMed  CAS  Google Scholar 

  19. Mocan H, Mocan MC, Sen Y, Kuzey G, Civiloglu C (1999) Fatal polyarteritis nodosa with massive mesenteric necrosis in a child. Clin Rheumatol 18:88–90

    Article  PubMed  CAS  Google Scholar 

  20. Ueda S, Matsumoto M, Ahn T, Adachi S, Oku K, Takagi M, Fukui H, Yoshikawa M (2001) Microscopic polyangiitis complicated with massive intestinal bleeding. J Gastroenterol 36:264–270

    Article  PubMed  CAS  Google Scholar 

  21. Green MH, Duell RM, Johnson CD, Jamieson NV (2001) Haemobilia. Br J Surg 88:773–786

    Article  PubMed  CAS  Google Scholar 

  22. Strickland SK, Khoury MB, Kiproff PM, Raves JJ (1991) Cystic artery pseudoaneurysm:a rare cause of hemobilia. Cardiovasc Intervent Radiol 14:183–184

    Article  PubMed  CAS  Google Scholar 

  23. Fagan EA, Allison DJ, Chadwick VS, Hodgson HJ (1980) Treatment of haemobilia by selective arterial embolisation. Gut 21:541–544

    PubMed  CAS  Google Scholar 

  24. Salam TA, Lumsden AB, Martin LG, Smith RB 3rd (1992) Nonoperative management of visceral aneurysms and pseudoaneurysms. Am J Surg 164:215–219

    Article  PubMed  CAS  Google Scholar 

  25. Miani S, Arpesani A, Giorgetti PL, Rampoldi V, Giordanengo F, Ruberti U (1993) Splanchnic artery aneurysms. J Cardiovasc Surg (Torino) 34:221–228

    CAS  Google Scholar 

  26. Counihan TC, Islam S, Swanson RS (1996) Acute cholecystitis resulting from hemobilia after tru-cut biopsy:a case report and brief review of the literature. Am Surg 62:757–758

    PubMed  CAS  Google Scholar 

  27. L'Hermine C, Ernst O, Delemazure O, Sergent G (1996) Arterial complications of percutaneous transhepatic biliary drainage. Cardiovasc Intervent Radiol 19:160–164

    PubMed  Google Scholar 

  28. Dousset B, Sauvanet A, Bardou M, Legmann P, Vilgrain V, Belghiti J (1997) Selective surgical indications for iatrogenic hemobilia. Surgery 121:37–41

    Article  PubMed  CAS  Google Scholar 

  29. Yoshida J, Donahue PE, Nyhus LM (1987) Hemobilia: review of recent experience with a worldwide problem. Am J Gastroenterol 82:448–453

    PubMed  CAS  Google Scholar 

  30. Richardson A, Simmons K, Gutmann J, Little JM (1985) Hepatic haemobilia: non-operative management in eight cases. Aust NZ J Surg 55:447–451

    CAS  Google Scholar 

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Acknowledgment

This work was supported by grants from the Innovative Medizinische Forschung (SP 1 203 18; to T.W.S.), University of Muenster, Muenster, Germany.

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Authors and Affiliations

  1. Department of Medicine B, Muenster University Hospital, Muenster, Germany

    Thomas W. Spahn, Hans Joerg Ullerich, Pia Lebitz, Markus Gaubitz & Wolfram Domschke

  2. Department of Clinical Radiology, Muenster University Hospital, Muenster, Germany

    Dag Wormanns

  3. Department of Internal Medicine and Gastroenterology, Marienhospital Osnabrück, Johannisfreiheit 2-4, D-49074, Osnabrück, Germany

    Thomas W. Spahn & Michael K. Mueller

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  1. Thomas W. Spahn
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  2. Hans Joerg Ullerich
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Correspondence to Thomas W. Spahn.

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Spahn, T.W., Ullerich, H.J., Lebitz, P. et al. Gastrointestinal Bleeding Secondary to Hepatic Artery Involvement of Microscopic Polyangiitis: Case Report and Review of the Literature. Dig Dis Sci 52, 1558–1561 (2007). https://doi.org/10.1007/s10620-006-9267-1

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  • DOI: https://doi.org/10.1007/s10620-006-9267-1

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