Siegel D M, Siegel S F
Department of Emergency Medicine, Jefferson Hospital, Pittsburgh, Pennsylvania 15236.
Ann Emerg Med. 1988 Apr;17(4):365-7. doi: 10.1016/s0196-0644(88)80784-4.
Periarteritis nodosa is characterized by generalized inflammation of medium and small arteries that leads to thrombosis or aneurysmal dilatation. We report the case of a 30-year-old man with no preceding signs or symptoms who presented initially with a chief complaint of mild abdominal pain. He deteriorated clinically during the next six to eight hours, and developed shock secondary to a ruptured aneurysm of the left gastric artery. His postoperative course was complicated by recurrent bleeding and death within 48 hours. Our case represents a protean clinical manifestation of periarteritis nodosa and expands the differential diagnosis of acute abdominal pain.
结节性多动脉炎的特征是中小动脉的全身性炎症，可导致血栓形成或动脉瘤样扩张。我们报告一例30岁男性病例，此前无任何体征或症状，最初以轻度腹痛为主诉就诊。在接下来的6至8小时内，他的病情临床恶化，并因胃左动脉瘤破裂继发休克。他的术后病程因反复出血而复杂化，并在48小时内死亡。我们的病例代表了结节性多动脉炎的多种临床表现，并扩大了急性腹痛的鉴别诊断范围。
