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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.
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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.
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