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Rheumatoid Vasculitis Manifesting as Intra-abdominal Hemorrhage

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1 Rheumatoid Vasculitis Manifesting as Intra-abdominal Hemorrhage
Antonio A. Achkar, M.D., Anthony W. Stanson, M.D., C. Michael Johnson, M.D., Sanjay S. Srivatsa, M.D., Lowell C. Dale, M.D., Cornelia M. Weyand, M.D.,Ph.D.  Mayo Clinic Proceedings  Volume 70, Issue 6, Pages (June 1995) DOI: / Copyright © 1995 Mayo Foundation for Medical Education and Research Terms and Conditions

2 Fig. 1 A, Computed tomographic scan through upper abdomen of 60-year-old man, showing mixed high- and low-density fluid around liver. High density (arrow) is hematoma. Low density (arrowhead) is fluid of indeterminate nature. B, Computed tomographic scan through midabdomen, showing large “masslike” density (arrowhead), which is acute hemorrhage at root of mesentery. Mayo Clinic Proceedings  , DOI: ( / ) Copyright © 1995 Mayo Foundation for Medical Education and Research Terms and Conditions

3 Fig. 2 A, Angiogram of inferior pancreaticoduodenal arcade artery (arrow). Ruptured, false aneurysm is evident (curved arrow). Continuation of inferior pancreaticoduodenal artery (arrowhead) exits false aneurysm. B, Multiplecoils placed in inferiorpancreaticoduodenal artery, proximal and distalto false aneurysm, as well as withinfalse aneurysm (arrow). Mayo Clinic Proceedings  , DOI: ( / ) Copyright © 1995 Mayo Foundation for Medical Education and Research Terms and Conditions

4 Fig. 3 Angiograms obtained 5 weeks after patient had been dismissed. A, Renal angiogram, showing small aneurysms (arrows) of lobar branches. B, Pelvic angiogram, showing small aneurysm (arrow) in branch of superior gluteal artery. Mayo Clinic Proceedings  , DOI: ( / ) Copyright © 1995 Mayo Foundation for Medical Education and Research Terms and Conditions


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