J Korean Rheum Assoc.  2010 Mar;17(1):51-55. 10.4078/jkra.2010.17.1.51.

Spontaneous Visceral Artery Hemorrhage in a Patient with Systemic Lupus Erythematosus Combined with Antiphospholipid Syndrome: A Case Report

• Jung SY
• Lee MJ
• Kim CJ
• Park CH
• Chang SS
• Moon SJ
• Kim WU

• KMID: 2201992
• DOI: http://doi.org/10.4078/jkra.2010.17.1.51

Abstract

Spontaneous visceral hemorrhage is a rare complication of systemic lupus erythematosus (SLE). We report here on a 55-year old male with SLE and who presented with acute abdominal pain due to bleeding of the hepatic artery and the splenic artery. Angiography revealed a spontaneous hemorrhage from branches of the hepatic artery and the splenic artery. We report here on a case of spontaneous recurrent non-traumatic hemorrhage of a visceral artery in a patient with secondary antiphospholipid syndrome (APS), and such a condition has not been previously described in a Korean patient with SLE.

Keyword

Systemic lupus erythematosus; Hemorrhage; Hepatic artery; Splenic artery; Antiphospholipid syndrome

MeSH Terms

Abdominal Pain
Angiography
Antiphospholipid Syndrome
Arteries
Hemorrhage
Hepatic Artery
Humans
Lupus Erythematosus, Systemic
Male
Splenic Artery

Figure

• 

  Fig. 1. The radiographic evidence shows cystic artery bleeding (A) An abdominal computed tomography scan demonstrates hematomas (black arrow) in the gallbladder and the adjacent hepatic parenchyma, and segmental venous thrombus (white arrows) in the inferior vena cava. (B) The hepatic angiography demonstrates active bleeding from the cystic artery.

• 

  Fig. 2. The radiographic evidence shows cystic artery bleeding (A) An abdominal computed tomography scan demonstrates peri-pancreatic hematomas (arrowheads). (B) The splenic artery angiography shows active bleeding from the pancreatic branches of the splenic artery (arrows).

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