Intraperitoneal hemorrhage secondary to ruptured omental artery aneurysm associated with polyarteritis nodosa: a case report
Abstract Background Polyarteritis nodsa (PAN) is a rare disease characterized by acute focal inflammatory damage to small and medium arteries. PAN complicated by ruptured aneurysm is an infrequent presentation with the most affected arteries being the renal and mesenteric arteries. Case presentation...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-06-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-023-01675-y |
| _version_ | 1797811323174649856 |
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| author | Mohamed H. El-Farra Rayan Yahia Aysenur Cetinkaya Nahidh Hasaniya |
| author_facet | Mohamed H. El-Farra Rayan Yahia Aysenur Cetinkaya Nahidh Hasaniya |
| author_sort | Mohamed H. El-Farra |
| collection | DOAJ |
| description | Abstract Background Polyarteritis nodsa (PAN) is a rare disease characterized by acute focal inflammatory damage to small and medium arteries. PAN complicated by ruptured aneurysm is an infrequent presentation with the most affected arteries being the renal and mesenteric arteries. Case presentation A 76-year-old female presented with a low-grade fever, generalized body aches, and abdominal pain. Investigation revealed intraperitoneal bleeding secondary to a ruptured and actively bleeding right omental artery aneurysm. Clinical manifestation, angiography and histology were consistent with PAN. Laparotomy was performed for stabilization and resection of the bleeding aneurysm followed by post operative steroids and cyclophosphamide. Patient was discharged in a stable condition. We reviewed seven cases found in the literature of omental artery aneurysm and rupture. Four cases were proceeded with laparotomy and aneurysm resection while three cases were proceeded with a less invasive approach of arterial embolization. Conclusions Omental artery aneurysm is a rare occurrence with even fewer reported cases associated with PAN. Of the seven reported cases, all patients were treated with a surgical intervention. In addition, PAN patients should be treated post-operatively with a course of steroids and cyclophosphamide. |
| first_indexed | 2024-03-13T07:20:55Z |
| format | Article |
| id | doaj.art-2e6835302bab4d939c012eefb1a2aa57 |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-03-13T07:20:55Z |
| publishDate | 2023-06-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-2e6835302bab4d939c012eefb1a2aa572023-06-04T11:37:13ZengSpringerOpenSurgical Case Reports2198-77932023-06-01911410.1186/s40792-023-01675-yIntraperitoneal hemorrhage secondary to ruptured omental artery aneurysm associated with polyarteritis nodosa: a case reportMohamed H. El-Farra0Rayan Yahia1Aysenur Cetinkaya2Nahidh Hasaniya3University of California Riverside School of MedicineUniversity of California Riverside School of MedicineIstanbul Medipol UniversityUniversity of California Riverside School of MedicineAbstract Background Polyarteritis nodsa (PAN) is a rare disease characterized by acute focal inflammatory damage to small and medium arteries. PAN complicated by ruptured aneurysm is an infrequent presentation with the most affected arteries being the renal and mesenteric arteries. Case presentation A 76-year-old female presented with a low-grade fever, generalized body aches, and abdominal pain. Investigation revealed intraperitoneal bleeding secondary to a ruptured and actively bleeding right omental artery aneurysm. Clinical manifestation, angiography and histology were consistent with PAN. Laparotomy was performed for stabilization and resection of the bleeding aneurysm followed by post operative steroids and cyclophosphamide. Patient was discharged in a stable condition. We reviewed seven cases found in the literature of omental artery aneurysm and rupture. Four cases were proceeded with laparotomy and aneurysm resection while three cases were proceeded with a less invasive approach of arterial embolization. Conclusions Omental artery aneurysm is a rare occurrence with even fewer reported cases associated with PAN. Of the seven reported cases, all patients were treated with a surgical intervention. In addition, PAN patients should be treated post-operatively with a course of steroids and cyclophosphamide.https://doi.org/10.1186/s40792-023-01675-yPolyarteritis nodosaAneurysmOmental artery |
| spellingShingle | Mohamed H. El-Farra Rayan Yahia Aysenur Cetinkaya Nahidh Hasaniya Intraperitoneal hemorrhage secondary to ruptured omental artery aneurysm associated with polyarteritis nodosa: a case report Surgical Case Reports Polyarteritis nodosa Aneurysm Omental artery |
| title | Intraperitoneal hemorrhage secondary to ruptured omental artery aneurysm associated with polyarteritis nodosa: a case report |
| title_full | Intraperitoneal hemorrhage secondary to ruptured omental artery aneurysm associated with polyarteritis nodosa: a case report |
| title_fullStr | Intraperitoneal hemorrhage secondary to ruptured omental artery aneurysm associated with polyarteritis nodosa: a case report |
| title_full_unstemmed | Intraperitoneal hemorrhage secondary to ruptured omental artery aneurysm associated with polyarteritis nodosa: a case report |
| title_short | Intraperitoneal hemorrhage secondary to ruptured omental artery aneurysm associated with polyarteritis nodosa: a case report |
| title_sort | intraperitoneal hemorrhage secondary to ruptured omental artery aneurysm associated with polyarteritis nodosa a case report |
| topic | Polyarteritis nodosa Aneurysm Omental artery |
| url | https://doi.org/10.1186/s40792-023-01675-y |
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