Korean J Gastrointest Endosc > Volume 33(5); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;33(5): 303-306.
결절다발동맥염에 의한 급성 허혈성 장염으로 소장절제술을 시행한 1예
이경환·박재명·천송욱·백창렬·오정환·조유경·이인석·김상우·최명규·정인식
가톨릭대학교 의과대학 내과학교실
A Case of Acute Ischemic Enteritis Caused by Polyarteritis Nodosa
Kyung-Hwan Lee, M.D., Jae Myung Park, M.D., Song Wook Chun, M.D., Chang Nyol Paik, M.D., Jung Hwan Oh, M.D., Yu Kyung Cho, M.D., In Seok Lee, M.D., Sang Woo Kim, M.D., Myung-Gyu Choi, M.D. and In-Sik Chung, M.D.
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
Polyarteritis nodosa is a systemic necrotizing vasculitis of the small- and medium-sized arteries with gastrointestinal involvement in more than 50% of cases at some time during the course of the disease. The gastrointestinal manifestations can be diverse and include abdominal pain, nausea and vomiting, ulceration, hemorrhage, occlusion and perforation. Gut involvement is a serious prognostic factor. A 65-year-old man was referred to our department suffering from epigastric pain. A push enteroscopy revealed ischemic enteritis at the proximal small bowel and the CT scan showed a large dilation of the small bowel. His condition deteriorated rapidly and an exploratory laparotomy and total resection of the small bowel was performed. We report a rare case in which the push enteroscopy revealed acute ischemic enteritis of the small bowel and where the pathology specimen showed transmural necrosis of the involved small bowel due to vessel occlusion caused by polyarteritis nodosa. (Korean J Gastrointest Endosc 2006;33:303⁣306)
Key Words: Ischemic enteritis, Polyarteritis nodosa, Endoscopy
주요어: 허혈성 장염, 결절다발동맥염, 내시경
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