Ischemic Enteritis Accompanying Polyarteritis Nodosa, Report of a Case Satoshi Yamada 1 , Masaaki Matsukawa 1 , Tatsuo Ogihara 1 , Kenji Kondoh 1 , Ryuichi Ohkura 1 1Department of Gastroenterology, Juntendo University, School of Medicine Keyword: 結節性多発動脈炎 , 虚血性小腸炎 , 小腸X線検査 , 瘻孔 pp.1271-1275
Published Date 1991/11/25
DOI https://doi.org/10.11477/mf.1403102690
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 A 75-year-old female was admitted to our hospital because of gait disturbance. Physical examination and laboratory examination disclosed fever, multiple mononeuritis, muscle weakness, leucocytosis, eosinophilia, erythema and intestinal symptoms, which led us suspect polyarteritis nodosa.

 Initial x-ray examination of the small bowel three weeks after the first abdominal symptoms showed inflammatory change in the proximal ileum associated with fistula formation. Second x-ray examination of the small intestine about one month later showed long tubular narrowing which was indicative of ischemic enteritis.

 Pathological examination of the resected material showed ischemic change of the ileum and arteritis which suggested polyarteritis nodosa complicated by ischemic enteritis.

Copyright © 1991, Igaku-Shoin Ltd. All rights reserved.


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