Giant Cell Arteritis Presenting as Small Bowel Infarction
| Autor: | Sriya K. M. Ranatunga, Aniyizhai Annamalai, David S. Resch, Mark L. Francis |
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| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
Systemic disease Case Reports/Clinical Vignettes Infarction small bowel infarction Blindness Fatal Outcome Intestine Small Internal Medicine medicine Humans vasculitic disorders Aged Bowel infarction giant cell arteritis business.industry Vascular disease medicine.disease Mesenteric Arteries Surgery Bowel obstruction Giant cell arteritis temporal arteritis Female Differential diagnosis business Vasculitis Intestinal Obstruction |
| Zdroj: | Journal of General Internal Medicine |
| ISSN: | 1525-1497 0884-8734 |
| DOI: | 10.1007/s11606-006-0024-0 |
| Popis: | Giant cell arteritis predominantly affects cranial arteries and rarely involves other sites. We report a patient who presented with small bowel obstruction because of infarction from mesenteric giant cell arteritis. She had an unusual cause of her obstruction and a rare manifestation of giant cell arteritis. In spite of aggressive therapy with steroids, she died a month later because of multiple complications. We discuss the diagnosis and management of small bowel obstruction and differential diagnosis of vasculitis of the gastrointestinal tract. We were able to find 11 cases of bowel involvement with giant cell arteritis in the English literature. This case report illustrates that giant cell arteritis can be a cause of small bowel obstruction and bowel infarction. In the proper clinical setting, vasculitides need to be considered early in the differential diagnosis when therapy may be most effective. |
| Databáze: | OpenAIRE |
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