Isolated Visceral Small Artery Fibromuscular Hyperplasia-Induced Ischemic Colitis Mimicking Inflammatory Bowel Disease
| Autor: | Sen Ian Gan, Stefan J. Urbanski, Remo Panaccione, Sylvain P Coderre |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty Pathology Ischemia Inflammatory bowel disease Gastroenterology Ischemic colitis Diagnosis Differential Prednisone Internal medicine medicine Humans Colitis Index case Hyperplasia Hepatology business.industry Arteries Inflammatory Bowel Diseases medicine.disease Ulcerative colitis Viscera Etiology business Colitis Ischemic medicine.drug |
| Zdroj: | The American Journal of Gastroenterology. 99:2058-2062 |
| ISSN: | 1572-0241 0002-9270 |
| DOI: | 10.1111/j.1572-0241.2004.40608.x |
| Popis: | A unique case of fibromuscular hyperplasia (FMH) of the visceral vasculature is presented. A 31-yr-old patient presented with a chronic colitis initially diagnosed as ulcerative colitis 1 yr earlier. On presentation, the endoscopic appearance showed deep linear ulcerations and cobblestoning and was more consistent with Crohn's disease. Biopsies of the area, however, suggested an ischemic etiology. The patient failed to respond to local 5ASA and prednisone therapy and progression of the disease led to a left hemicolectomy. A diagnosis of a small vessel fibromuscular arteriopathy was made on the resected specimen. This is the first case presentation of FMH mimicking inflammatory bowel disease. The lack of any systemic involvement of FMH with isolated small vessel disease has never been reported and serves as an index case of which clinicians should be aware. The literature is reviewed and the possible implications are discussed. |
| Databáze: | OpenAIRE |
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