A 16-year-old boy with the complaints of fever, abdominal pain, arthra
lgia and hypertension was found to have poly arteritis nodosa. Selecti
ve renal angiography disclosed a 5-mm microaneurysm of the right infer
ior suprarenal artery, which has not been previously reported in polya
rteritis nodosa. Aside from the diagnostic viewpoint, some of the peri
renal and retroperitoneal hemorrhages of unknown origin seen in polyar
teritis nodosa might be due to the rupture of suprarenal artery aneury
sms.