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Celiac artery aneurysm causing an acute abdomen
  1. Rute Castelhano1,
  2. Khine Myat Win1 and
  3. Sara Carty2
  1. 1General Surgery, Great Western Hospital Foundation NHS Trust, Swindon, UK
  2. 2Rheumatology, Great Western Hospital Foundation NHS Trust, Swindon, UK
  1. Correspondence to Dr Rute Castelhano; rute.castelhano{at}


Abdominal pain is a very common presentation in the accident and emergency department. However, vasculitis is not the usual first differential diagnosis. This paper discusses a case of polyarteritis nodosa presenting with acute abdominal pain alone. Common surgical conditions were obviously considered, but they were not found to cause the patient’s problems. We describe how investigations led to this diagnosis discussed in detail in this paper. It is important to remember that prompt recognition of unusual life-threatening conditions can lead to timely intervention.

  • vasculitis
  • gastrointestinal surgery

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  • Contributors RC and KMW wrote the case report. SC, consultant rheumatologist, was the senior author responsible for revision of content.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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