HEMOBİLİA VE GASTROİNTESTİNAL KANAMA İLE SEYREDEN BİR POLİARTERİTİS NODOSA (PAN) OLGUSU
Ekrem Kaya1, Ruhi Sayar1, Halil Özgüç1, Sema Özuysal1Uludağ Üniversitesi Tıp Fakültesi İlk ve Acil Yardım Ad
A CASE OF POLYARTHRITIS NODOSA (PAN) PRESENTING WITH HEMOBILIA AND GASTROINTESTINAL BLEEDING
Ekrem Kaya1, Ruhi Sayar1, Halil Özgüç1, Sema Özuysal1Uludağ Üniversitesi Tıp Fakültesi İlk ve Acil Yardım Ad
16 year-old boy was hospitalized for fever, malaise, diarrhea, upper gastrointestinal bleeding and abdominal pain. Despite agressive fluid replacement and blood transfusion, bleeding did not stop. Jaundice developed on the eighth day and endoscopic evaluation revealed hemobilia. Selective arteriel embolisation and bowel resection were performed. Immunosupressive treatment was initiated. The patient recovered and was discharged. In his fourth year follow up, he is well.