腸間膜動脈破綻により腹腔内出血を呈した結節性動脈周囲炎の1例

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  • A CASE OF PERIARTERITIS NODOSA WITH MASSIVE INTRA-ABDOMINAL HEMORRHAGE CAUSED BY A RUPTURE OF THE MESENTERIC ARTERY

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A 64-year-old male patient was admitted because of fever, abdominal pain, and shock state. Ultrasonography and CT scanning of the abdomen revealed massive intra-abdominal hemorrhage. Palliative operation was performed and a fist-sized hematoma was found on the mesocolon transversum. Histopathologic examination revealed a rupture of the mesenteic artery and necrotizing angitis, accordingly he was diagnosed as periarteritis nodosa. <BR>Periateritis nodosa presents with various clinical symptoms indeed, but a case presenting with intraabdominal hemorrhage like this case has nerver been reported in Japan.

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