Document Detail

Lupus abdominal crisis owing to rupture of an ileocolic aneurysm with successful angiographic treatment.
MedLine Citation:
PMID:  11276282     Owner:  NLM     Status:  MEDLINE    
There are many causes of acute abdominal pain, or abdominal "crises," in patients with systemic lupus erythematosus (SLE), most frequently the causes are serositis or vasculitis. Vasculitis generally causes small vessel abnormalities and may present with symptoms owing to mucosal damage, such as pain, diarrhea, or bleeding. We present a patient with SLE who had the acute onset of severe abdominal pain while hospitalized for a lupus flare and who was found to have a ruptured ileocolic aneurysm with intraperitoneal bleeding. She was successfully managed with angiographic embolization, without further complications. Although angiography is well established as a therapeutic intervention for mesenteric aneurysms of various etiologies, this is the first case of an SLE-related ileocolic aneurysm so managed. This entity should be considered in the differential diagnosis of abdominal pain in patients with lupus, and angiographic embolization should be considered in its management.
C Cely; N H Stollman
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical gastroenterology     Volume:  32     ISSN:  0192-0790     ISO Abbreviation:  J. Clin. Gastroenterol.     Publication Date:  2001 Apr 
Date Detail:
Created Date:  2001-03-29     Completed Date:  2001-06-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7910017     Medline TA:  J Clin Gastroenterol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  347-50     Citation Subset:  IM    
Division of Gastroenterology University of Miami School of Medicine Miami, Florida, USA.
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MeSH Terms
Abdomen, Acute / etiology
Aneurysm, Ruptured / complications*,  radiography,  therapy*
Colon / blood supply*
Embolization, Therapeutic
Ileum / blood supply*
Lupus Erythematosus, Systemic / complications*

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