Polyarteritis nodosa presenting as massive upper gastrointestinal hemorrhage.

R. A. Perez, D. Silver, Bhaskar Banerjee

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9 Scopus citations


We report the first case of massive upper gastrointestinal hemorrhage as the initial presentation of polyarteritis nodosa (PAN), which is an uncommon form of systemic necrotizing vasculitis that may involve many organ systems and could affect any age group. Abdominal pain is the most common sign of gastrointestinal involvement. Gastrointestinal bleeding occurs less frequently in approximately 6% of cases. Reported cases of gastrointestinal hemorrhage have been in the form of coffee ground emesis, melena, or hematochezia. Such bleeding complications have resulted from ischemic ulceration or perforation of the small or large intestine. However, we are unaware of previous reports showing massive hematemesis to be the initial presentation of PAN.

Original languageEnglish (US)
Pages (from-to)87
Number of pages1
JournalSurgical Endoscopy
Issue number1
Publication statusPublished - Jan 2000
Externally publishedYes


ASJC Scopus subject areas

  • Surgery

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