Polyarteritis nodosa presented as a dilatation of the intrahepatic bile duct
نویسندگان
چکیده
Polyarteritis nodosa (PAN) is a systemic necrotizing vasculitis of small- and medium-sized arteries in multiorgan systems. PAN may affect the gastrointestinal tract in 14%-65% of patients, but rarely involves the biliary tract and liver. We describe a patient without underlying disease who was diagnosed with PAN during resection of the gallbladder and liver.
منابع مشابه
A limited polyarteritis nodosa of the liver and gallbladder accompanied with a solitary cystic dilatation of the intrahepatic bile duct.
A 31 year old man was hospitalised with general fatigue and epigastric pain. Abdominal ultrasonography, computed tomography, and magnetic resonance imaging showed a cystic lesion in the left lobe of the liver. Endoscopic retrograde cholangio-pancreatography and percutaneous trans-hepatic cholangiography revealed a localised dilatation of the intrahepatic bile duct without any obstruction. Howev...
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Hemobilia, in patients with the diagnosis of polyarteritis nodosa, is rare at clinical presentation and has a grave prognosis. We describe a case of massive hemobilia, due to aneurysmal rupture, in a patient with polyarteritis nodosa. A 39-year-old man was admitted to the hospital with upper abdominal pain. The patient had a history of partial small bowel resection, for intestinal infarction, a...
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Two cases of pure congenital dilatation of the intrahepatic bile ducts are presented. One patient developed amyloidosis secondary to suppuration, and had isolated cysts in the renal medulla. The position of congenital dilatation of the intrahepatic bile ducts compared with cysts in the liver and its association with ;cystic' diseases of the kidneys is discussed.
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This study aims to review the causes of intrahepatic and extrahepatic bile duct dilatation. Based on review of medical literature, a scientific classification of the causes is proposed. Intrahepatic and extrahepatic bile duct dilatation can be divided into two categories: congenital and acquired. The former includes the five classical Todani’s congenital types. The latter can be sub-classified ...
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عنوان ژورنال:
دوره 87 شماره
صفحات -
تاریخ انتشار 2014