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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...

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Detalles Bibliográficos
Autores principales: Asti, Emanuele, Pogliani, Luca, Tritella, Stefania, Bonavina, Luigi
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
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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.
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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
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