Abdominal polyarteritis nodosa: angiographic features
Polyarteritis nodosa (PAN) is a systemic vasculitis of small and medium size arteries. The purpose of this study is to evaluate imaging findings, especially angiographic features, of 17 patients with abdominal involvement from polyarteritis nodosa. We reviewed the medical records and imaging finding...
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Veröffentlicht in: | Journal de radiologie 2004-05, Vol.85 (5 Pt 1), p.635-638 |
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creator | Mnif, N Chaker, M Oueslati, S Ellouze, Th Tenzakhti, F Turki, S Ben Abdallah, N Ben Maïz, H Hamza, R |
description | Polyarteritis nodosa (PAN) is a systemic vasculitis of small and medium size arteries. The purpose of this study is to evaluate imaging findings, especially angiographic features, of 17 patients with abdominal involvement from polyarteritis nodosa.
We reviewed the medical records and imaging findings of 17 patients with PAN involving the abdomen. All patients underwent digital subtraction angiography of the renal or visceral arteries completed by a post-angiographic KUB. Abdominal CT scan was available in three patients. All patients underwent muscle biopsy. A surgical biopsy of the gallbladder was obtained in one patient.
Multiple small aneurysms involving small and medium sized arteries were detected at angiography in 12 patients. CT showed a renal subcapsular hematoma in two patients and acute pancreatitis in one patient.
Involvement of gastrointestinal and renal arteries is frequent in polyarteritis nodosa. The diagnosis of PAN should be considered when multiple small-sized aneurysms are present at angiography even if biopsy is negative. |
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We reviewed the medical records and imaging findings of 17 patients with PAN involving the abdomen. All patients underwent digital subtraction angiography of the renal or visceral arteries completed by a post-angiographic KUB. Abdominal CT scan was available in three patients. All patients underwent muscle biopsy. A surgical biopsy of the gallbladder was obtained in one patient.
Multiple small aneurysms involving small and medium sized arteries were detected at angiography in 12 patients. CT showed a renal subcapsular hematoma in two patients and acute pancreatitis in one patient.
Involvement of gastrointestinal and renal arteries is frequent in polyarteritis nodosa. The diagnosis of PAN should be considered when multiple small-sized aneurysms are present at angiography even if biopsy is negative.</description><identifier>ISSN: 0221-0363</identifier><identifier>PMID: 15205655</identifier><language>fre</language><publisher>France</publisher><subject>Abdomen - blood supply ; Abdominal Pain - etiology ; Adult ; Aged ; Aged, 80 and over ; Aneurysm - diagnostic imaging ; Aneurysm - etiology ; Angiography, Digital Subtraction - methods ; Angiography, Digital Subtraction - standards ; Biopsy - standards ; Female ; Fever - etiology ; Humans ; Hypertension - etiology ; Kidney Diseases - etiology ; Male ; Mesenteric Artery, Superior - diagnostic imaging ; Middle Aged ; Patient Selection ; Polyarteritis Nodosa - complications ; Renal Artery - diagnostic imaging ; Retrospective Studies ; Tomography, X-Ray Computed - standards ; Urography - standards ; Weight Loss</subject><ispartof>Journal de radiologie, 2004-05, Vol.85 (5 Pt 1), p.635-638</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15205655$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mnif, N</creatorcontrib><creatorcontrib>Chaker, M</creatorcontrib><creatorcontrib>Oueslati, S</creatorcontrib><creatorcontrib>Ellouze, Th</creatorcontrib><creatorcontrib>Tenzakhti, F</creatorcontrib><creatorcontrib>Turki, S</creatorcontrib><creatorcontrib>Ben Abdallah, N</creatorcontrib><creatorcontrib>Ben Maïz, H</creatorcontrib><creatorcontrib>Hamza, R</creatorcontrib><title>Abdominal polyarteritis nodosa: angiographic features</title><title>Journal de radiologie</title><addtitle>J Radiol</addtitle><description>Polyarteritis nodosa (PAN) is a systemic vasculitis of small and medium size arteries. The purpose of this study is to evaluate imaging findings, especially angiographic features, of 17 patients with abdominal involvement from polyarteritis nodosa.
We reviewed the medical records and imaging findings of 17 patients with PAN involving the abdomen. All patients underwent digital subtraction angiography of the renal or visceral arteries completed by a post-angiographic KUB. Abdominal CT scan was available in three patients. All patients underwent muscle biopsy. A surgical biopsy of the gallbladder was obtained in one patient.
Multiple small aneurysms involving small and medium sized arteries were detected at angiography in 12 patients. CT showed a renal subcapsular hematoma in two patients and acute pancreatitis in one patient.
Involvement of gastrointestinal and renal arteries is frequent in polyarteritis nodosa. The diagnosis of PAN should be considered when multiple small-sized aneurysms are present at angiography even if biopsy is negative.</description><subject>Abdomen - blood supply</subject><subject>Abdominal Pain - etiology</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aneurysm - diagnostic imaging</subject><subject>Aneurysm - etiology</subject><subject>Angiography, Digital Subtraction - methods</subject><subject>Angiography, Digital Subtraction - standards</subject><subject>Biopsy - standards</subject><subject>Female</subject><subject>Fever - etiology</subject><subject>Humans</subject><subject>Hypertension - etiology</subject><subject>Kidney Diseases - etiology</subject><subject>Male</subject><subject>Mesenteric Artery, Superior - diagnostic imaging</subject><subject>Middle Aged</subject><subject>Patient Selection</subject><subject>Polyarteritis Nodosa - complications</subject><subject>Renal Artery - diagnostic imaging</subject><subject>Retrospective Studies</subject><subject>Tomography, X-Ray Computed - standards</subject><subject>Urography - standards</subject><subject>Weight Loss</subject><issn>0221-0363</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1jztPwzAYRT2AaCn8BZSJLZLfddiqikelSiwwR358KUZObGxn6L8nEmW6wz3nSvcKrTGlpMVMshW6LeUbY0oI5zdoRQTFQgqxRmJnXBz9pEOTYjjrXCH76kszRReLfmr0dPLxlHX68rYZQNc5Q7lD14MOBe4vuUGfL88f-7f2-P562O-ObSKsqy0j2G4NV1Z2zhlisVF8cAx3IKiwAiyXAlNngFIqBqeMdB3j2jqq1NJt2QY9_u2mHH9mKLUffbEQgp4gzqWXUnK5KAv4cAFnM4LrU_ajzuf-_yj7BQOZTjc</recordid><startdate>200405</startdate><enddate>200405</enddate><creator>Mnif, N</creator><creator>Chaker, M</creator><creator>Oueslati, S</creator><creator>Ellouze, Th</creator><creator>Tenzakhti, F</creator><creator>Turki, S</creator><creator>Ben Abdallah, N</creator><creator>Ben Maïz, H</creator><creator>Hamza, R</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200405</creationdate><title>Abdominal polyarteritis nodosa: angiographic features</title><author>Mnif, N ; Chaker, M ; Oueslati, S ; Ellouze, Th ; Tenzakhti, F ; Turki, S ; Ben Abdallah, N ; Ben Maïz, H ; Hamza, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p139t-310c7b48c69ddb1c0b84fd309e525c5ec46502dbe2225fd8b6d934acd288c4673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>fre</language><creationdate>2004</creationdate><topic>Abdomen - blood supply</topic><topic>Abdominal Pain - etiology</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aneurysm - diagnostic imaging</topic><topic>Aneurysm - etiology</topic><topic>Angiography, Digital Subtraction - methods</topic><topic>Angiography, Digital Subtraction - standards</topic><topic>Biopsy - standards</topic><topic>Female</topic><topic>Fever - etiology</topic><topic>Humans</topic><topic>Hypertension - etiology</topic><topic>Kidney Diseases - etiology</topic><topic>Male</topic><topic>Mesenteric Artery, Superior - diagnostic imaging</topic><topic>Middle Aged</topic><topic>Patient Selection</topic><topic>Polyarteritis Nodosa - complications</topic><topic>Renal Artery - diagnostic imaging</topic><topic>Retrospective Studies</topic><topic>Tomography, X-Ray Computed - standards</topic><topic>Urography - standards</topic><topic>Weight Loss</topic><toplevel>online_resources</toplevel><creatorcontrib>Mnif, N</creatorcontrib><creatorcontrib>Chaker, M</creatorcontrib><creatorcontrib>Oueslati, S</creatorcontrib><creatorcontrib>Ellouze, Th</creatorcontrib><creatorcontrib>Tenzakhti, F</creatorcontrib><creatorcontrib>Turki, S</creatorcontrib><creatorcontrib>Ben Abdallah, N</creatorcontrib><creatorcontrib>Ben Maïz, H</creatorcontrib><creatorcontrib>Hamza, R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal de radiologie</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mnif, N</au><au>Chaker, M</au><au>Oueslati, S</au><au>Ellouze, Th</au><au>Tenzakhti, F</au><au>Turki, S</au><au>Ben Abdallah, N</au><au>Ben Maïz, H</au><au>Hamza, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Abdominal polyarteritis nodosa: angiographic features</atitle><jtitle>Journal de radiologie</jtitle><addtitle>J Radiol</addtitle><date>2004-05</date><risdate>2004</risdate><volume>85</volume><issue>5 Pt 1</issue><spage>635</spage><epage>638</epage><pages>635-638</pages><issn>0221-0363</issn><abstract>Polyarteritis nodosa (PAN) is a systemic vasculitis of small and medium size arteries. The purpose of this study is to evaluate imaging findings, especially angiographic features, of 17 patients with abdominal involvement from polyarteritis nodosa.
We reviewed the medical records and imaging findings of 17 patients with PAN involving the abdomen. All patients underwent digital subtraction angiography of the renal or visceral arteries completed by a post-angiographic KUB. Abdominal CT scan was available in three patients. All patients underwent muscle biopsy. A surgical biopsy of the gallbladder was obtained in one patient.
Multiple small aneurysms involving small and medium sized arteries were detected at angiography in 12 patients. CT showed a renal subcapsular hematoma in two patients and acute pancreatitis in one patient.
Involvement of gastrointestinal and renal arteries is frequent in polyarteritis nodosa. The diagnosis of PAN should be considered when multiple small-sized aneurysms are present at angiography even if biopsy is negative.</abstract><cop>France</cop><pmid>15205655</pmid><tpages>4</tpages></addata></record> |
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subjects | Abdomen - blood supply Abdominal Pain - etiology Adult Aged Aged, 80 and over Aneurysm - diagnostic imaging Aneurysm - etiology Angiography, Digital Subtraction - methods Angiography, Digital Subtraction - standards Biopsy - standards Female Fever - etiology Humans Hypertension - etiology Kidney Diseases - etiology Male Mesenteric Artery, Superior - diagnostic imaging Middle Aged Patient Selection Polyarteritis Nodosa - complications Renal Artery - diagnostic imaging Retrospective Studies Tomography, X-Ray Computed - standards Urography - standards Weight Loss |
title | Abdominal polyarteritis nodosa: angiographic features |
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