Periarteritis nodosa with perforation of the colon: a rare complication

Perforation of the sigmoid colon with ischemic change due to polyarteritis nodosa

“…It is extremely rare for PAN to be accompanied by a perforation of the colon at the initial presentation. 4 Rosenblum et al 7 reported two cases of PAN in patients with a perforation of the sigmoid colon and perforation of the ascending colon, respectively. 7 The former had PAN associated with rheumatoid arthritis.…”

“…4 Rosenblum et al 7 reported two cases of PAN in patients with a perforation of the sigmoid colon and perforation of the ascending colon, respectively. 7 The former had PAN associated with rheumatoid arthritis. Lee et al 4 and Roikjaer 8 reported cases of PAN in patients with perforation of the cecum.…”

“…Perforated site RA Rosenblum et al 7 Sigmoid colon ϩ Ascending colon Ϫ Lee et al 4 Cecum Ϫ Roikjaer 8 Cecum Ϫ Fort et al 9 Not described Ϫ Levin et al 10 Not described ϩ Parker and Thomas 11 Sigmoid colon ϩ Cecum ϩ Okada et al (Present case) Sigmoid colon Ϫ RA, Rheumatoid arthritis; ϩ, present; Ϫ, absent language literature. The present case is therefore thought to be both interesting and rare (Table 1).…”

Review of American and English literature for the years 1963 and 1964 (Seventeenth Rheumatism Review)

“…261,375,1061 ), exophthalmos ( 1286), and mononeuritis multiplex(127,762). The possibility of diagnosis of polyarteritis on the basis of the pattern of simultaneous progression and regression of infiltrates: in serial roentgenograms of the thorax was suggested (1099).…”