E. Rene Rodriguez Cleveland Clinic Cleveland, Ohio
Click here to download handout in 1-up pdf format for the current section (8.15 MB)
Click here to download handout in 6-up pdf format for the current section (4.29 MB)
A 66-year-old female patient presented to an outside hospital with worsening abdominal pain, and found to have multiple intraabdominal aneurysms on angiography. She developed retroperitoneal hemorrhage that required bowel resection. A biopsy of the superior mesenteric artery was read as polyarteritis nodosa. She was treated with steroids. Postoperative course was complicated by intra-abdominal abscess and anastomotic leak requiring multiple surgeries. She also developed steroid-induced diabetes mellitus and glaucoma. She was transferred to Cleveland Clinic 3 months after the initial presentation.
On admission to CC, no new or prior symptoms suggestive of multiorgan system involvement were noted. Serologic studies were normal (ESR, CRP, C3, C4). Hepatitis B and C antibodies were negative. A review of the outside slides was requested.