Diagnosis of systemic polyarteritis nodosa following total abdominal hysterectomy and bilateral salpingo-oophorectomy: a case report.

We describe a case of polyarteritis nodosa in a 66-year-old woman who presented with multiple neurologic complaints. The case remained perplexing to the clinicians caring for her until a total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed for a right adnexal mass noted on physical examination and computed tomography scan. Although unsuspected polyarteritis nodosa has been diagnosed on examination of other tissues removed at surgery, this is the first case of polyarteritis nodosa diagnosed following total abdominal hysterectomy and bilateral salpingo-oophorectomy reported in the English literature.