Polyarteritis nodosa and acute abdomen: A role for laparoscopy?

Emanuele Asti, Luca Pogliani, Stefania Tritella, Luigi Bonavina

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)161-163
Number of pages3
JournalInternational Journal of Surgery Case Reports
Volume17
DOIs
Publication statusPublished - 2015

Keywords

  • Acute abdomen
  • Laparoscopy
  • Mesenteric ischemia
  • Mesenteric vasculitis
  • Pitting edema
  • Polyarteritis nodosa

ASJC Scopus subject areas

  • Surgery

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