Acute abdomen due to intestinal ischemia as an initial presentation of polyarteritis nodosa

Cengız, Cem; Pampal, Kutluk; Doğan, Semra; Bulut, Şafak; Boyacioglu, Sedat

doi:10.4318/tjg.2010.0144

Cited by 5 publications

(2 citation statements)

References 6 publications

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“…Small vessel vasculitis such as Wegener's granulomatosis [82] and microscopic polyangiitis can cause mucosal ischaemia whereas vasculitis involving medium-sized arteries (polyarteritis nodosa and Kawasaki disease) [83] or larger vessels are more likely to result in transmural involvement (Takayasu's arteritis and giant cell arteritis) causing peritoneal disease or perforation [81]. Vasculitides can also result in mesenteric circulation ischaemia.…”

Section: Inflammatory Conditions Affecting the Small Bowelmentioning

confidence: 99%

“…Plasmapheresis is suggested in some cases in view of the severity of the disease as steroids and cyclophosphamide are not enough [101]. Unfortunately, some patients inevitably require surgery in view of their presentation with an acute abdomen secondary to the vasculitis causing ischaemia and necrosis of the SB [83,100]. The severity of the disease, the multiorgan involvement and the rarity that these conditions present make this group of disorders challenging to diagnose and treat.…”

Section: Inflammatory Conditions Affecting the Small Bowelmentioning

confidence: 99%

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Systemic manifestations – do not forget the small bowel

Zammit

Sidhu

2021

Current Opinion in Gastroenterology

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Purpose of review Systemic diseases can afflict the small bowel (SB) but be challenging to diagnose. In this review, we aim to provide a broad overview of these conditions and to summarise their management. Recent findings Small bowel capsule endoscopy (SBCE) is an important modality to investigate pathology in the SB. SB imaging can be complementary to SBCE for mural and extramural involvement and detection of multiorgan involvement or lymphadenopathy. Device assisted enteroscopy provides a therapeutic arm, to SBCE enabling histology and therapeutics to be carried out. Summary SB endoscopy is essential in the diagnosis, management and monitoring of these multi-system conditions. Collaboration across SB centres to combine experience will help to improve the management of some of these rarer SB conditions.

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Section: Inflammatory Conditions Affecting the Small Bowelmentioning

confidence: 99%