Recurrent gastrointestinal bleeding with ANCA Associated Glomerulonephritis successfully treated by transarterial embolization

Li, Ling and Li, Xiao and Fu, Ping and Liu, Fang (2013) Recurrent gastrointestinal bleeding with ANCA Associated Glomerulonephritis successfully treated by transarterial embolization. Pakistan Journal of Medical Sciences, 29 (6). ISSN 1681-715X

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Abstract

Anti-neutrophil cytoplasmic antibody-associated vasculitis (AAV) is a group of autoimmune diseases that normally affects multiple organs. Recurrent gastrointestinal (GI) bleeding, a critical complication of AAV, remains a challenge. Here, we report a case of AAV complicated by pulmonary hemorrhage, severe recurrent gastrointestinal bleeding, and rapid progressive renal insufficiency that was treated successfully with selective transarterial embolization, continuous veno-venous hemofiltration, plasma exchange, intravenous gamma globulin infusion, followed by steroids and cytotoxic drug therapy. We report this case considering that selective transarterial embolization may be a safe and effective alternative method in recurrent AAV associated GI bleeding caused by AAV refractory to medical therapy.

Item Type: Article
Subjects: East India Archive > Medical Science
Depositing User: Unnamed user with email support@eastindiaarchive.com
Date Deposited: 19 May 2023 07:06
Last Modified: 14 Sep 2024 04:32
URI: http://ebooks.keeplibrary.com/id/eprint/1191

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