咨询与建议

看过本文的还看了

相关文献

该作者的其他文献

文献详情 >Polyarteritis nodosa diagnosed... 收藏

Polyarteritis nodosa diagnosed by surgically resected jejunal necrosis following acute abdomen

Polyarteritis nodosa diagnosed by surgically resected jejunal necrosis following acute abdomen

作     者:Yuta Hiraike Makoto Kodaira Munetaka Sano Yasuyuki Terazawa Shingo Yamagata Syuzo Terada Masaharu Ohura Ken Kuriki 

作者机构:Department of Gastroenterology Yaizu City Hospital Yaizu City Shizuoka 425-8505 Japan Department of Nephrology Yaizu City Hospital Yaizu City Shizuoka 425-8505 Japan Department of Pathology Yaizu City Hospital Yaizu City Shizuoka 425-8505 Japan 

出 版 物:《World Journal of Gastroenterology》 (世界胃肠病学杂志(英文版))

年 卷 期:2013年第19卷第18期

页      面:2830-2834页

核心收录:

学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主  题:Acute abdomen Polyarteritis nodosa Jejunal necrosis 

摘      要:The differential diagnosis of acute abdomen is typically extremely broad in range, with vasculitis posing a rare but potentially life-threatening cause of acute abdomen. Here, we report a case of acute abdomen with bowel wall thickening limited to jejunum, accompanied by unexplained renal dysfunction. Later, the patient was diagnosed as having polyarteritis nodosa based on surgically resected jejunal necrosis. Despite aggressive treatment, including the use of steroid pulse therapy and continuous hemodiafiltration, the patient died. Although polyarteritis nodosa is extremely rare in patients with acute abdomen, acute abdomen is relatively common manifestation of that. And it is reported that involvement of small intestine suggests poorer prognosis. Our case highlights the importance of vasculitis as a differential diagnosis of patients with atypical acute abdomen. In this report, we not only review possible clues that might have led to an earlier diagnosis in this case, but also attempt to draw some lessons for treating similar cases in the future.

读者评论 与其他读者分享你的观点

用户名:未登录
我的评分