When Angiography Makes a Difference - Polyarteritis
Nodosa- A Rare Cause of Mid- Gastrointestinal Bleedinginsects
Diana Penha1, Erique Guedes Pinto2, Belarmino Gonçalves3, David Orta4 and Ana Costa5
DOI: 10.26717/BJSTR.2017.01.000229
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- 1Department of Liverpool Heart and Chest NHS Foundation Hospital, UK
- 2Department of Aintree University Hospital NHS Foundation Trust, UK
- 3Department of Interventional Radiology service - Instituto Português de Oncologia do Porto FG, Interventional Radiologist, Angiography Section Chief, Portugal
- 4Department of Gastroenterology service - Hospital Prof. Dr. Fernando Fonseca, Portugal
- 5Departmentof Radiology service - Hospital Prof. Dr. Fernando Fonseca, Portugal
Corresponding author:
Diana Penha, Department of Liverpool Heart and Chest NHS Foundation Hospital, Radiology Consultant, Liverpool, UK
Received: July 17, 2017; Published: July 31, 2017
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Abstract
We present a case of overt and recurrent mid-gastrointestinal bleeding with hemodynamic repercussion and severe limitation to
the patients’ quality of life, followed in our department for the last 6 years. The final diagnosis of isolated gastrointestinal involvement of
Polyarteritis Nodosa was only reached after multiple hospital admissions, imaging and gastroenterological examinations. A subtle finding
of micro aneurysms in the mesenteric circulation opened the way to effective treatment when endoscopic treatment had failed to prevent
recurrences.
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ISSN: 2574 -1241
