Cargando…
Polyarteritis nodosa and acute abdomen: A role for laparoscopy?
Mesenteric vasculitis secondary to polyarteritis nodosa represents an atypical but potentially life-threatening cause of bowel ischemia and acute abdomen. The patient presented with severe abdominal pain of recent onset, pitting edema of the legs, renal failure and bowel wall thickening suggestive o...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4701864/ https://www.ncbi.nlm.nih.gov/pubmed/26656589 http://dx.doi.org/10.1016/j.ijscr.2015.11.007 |
_version_ | 1782408547483516928 |
---|---|
author | Asti, Emanuele Pogliani, Luca Tritella, Stefania Bonavina, Luigi |
author_facet | Asti, Emanuele Pogliani, Luca Tritella, Stefania Bonavina, Luigi |
author_sort | Asti, Emanuele |
collection | PubMed |
description | Mesenteric vasculitis secondary to polyarteritis nodosa represents an atypical but potentially life-threatening cause of bowel ischemia and acute abdomen. The patient presented with severe abdominal pain of recent onset, pitting edema of the legs, renal failure and bowel wall thickening suggestive of mesenteric ischemia on CT scan. Early laparoscopy allowed to rule out proximal bowel necrosis and resection was avoided. The patient was successfully managed with corticosteroid therapy and repeated hemodialysis sessions. |
format | Online Article Text |
id | pubmed-4701864 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-47018642016-02-03 Polyarteritis nodosa and acute abdomen: A role for laparoscopy? Asti, Emanuele Pogliani, Luca Tritella, Stefania Bonavina, Luigi Int J Surg Case Rep Case Report Mesenteric vasculitis secondary to polyarteritis nodosa represents an atypical but potentially life-threatening cause of bowel ischemia and acute abdomen. The patient presented with severe abdominal pain of recent onset, pitting edema of the legs, renal failure and bowel wall thickening suggestive of mesenteric ischemia on CT scan. Early laparoscopy allowed to rule out proximal bowel necrosis and resection was avoided. The patient was successfully managed with corticosteroid therapy and repeated hemodialysis sessions. Elsevier 2015-12-01 /pmc/articles/PMC4701864/ /pubmed/26656589 http://dx.doi.org/10.1016/j.ijscr.2015.11.007 Text en © 2015 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Asti, Emanuele Pogliani, Luca Tritella, Stefania Bonavina, Luigi Polyarteritis nodosa and acute abdomen: A role for laparoscopy? |
title | Polyarteritis nodosa and acute abdomen: A role for laparoscopy? |
title_full | Polyarteritis nodosa and acute abdomen: A role for laparoscopy? |
title_fullStr | Polyarteritis nodosa and acute abdomen: A role for laparoscopy? |
title_full_unstemmed | Polyarteritis nodosa and acute abdomen: A role for laparoscopy? |
title_short | Polyarteritis nodosa and acute abdomen: A role for laparoscopy? |
title_sort | polyarteritis nodosa and acute abdomen: a role for laparoscopy? |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4701864/ https://www.ncbi.nlm.nih.gov/pubmed/26656589 http://dx.doi.org/10.1016/j.ijscr.2015.11.007 |
work_keys_str_mv | AT astiemanuele polyarteritisnodosaandacuteabdomenaroleforlaparoscopy AT poglianiluca polyarteritisnodosaandacuteabdomenaroleforlaparoscopy AT tritellastefania polyarteritisnodosaandacuteabdomenaroleforlaparoscopy AT bonavinaluigi polyarteritisnodosaandacuteabdomenaroleforlaparoscopy |