Necrosis intestinal como presentación de enfermedad de Takayasu: Report of one case

A 32 years old female was admitted to hospital due to acute abdominal pain, nausea, vomiting and liquid stools. Physical examination was normal except for pain on her left inferior abdominal quadrant without peritoneal irritation signs. An abdominal CAT-scan suggested thrombosis at celiac trunk, alt...

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Autores principales:	Cornejo R,Rodrigo, Gatica R,Héctor, Segovia R,Erico, Cortés M,Claudia
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2002
Materias:	Magnetic resonance imaging Mesenteric vascular occlusion Takayasu's arteritis
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002001000011
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spelling	oai:scielo:S0034-988720020010000112014-08-21Necrosis intestinal como presentación de enfermedad de Takayasu: Report of one caseCornejo R,RodrigoGatica R,HéctorSegovia R,EricoCortés M,Claudia Magnetic resonance imaging Mesenteric vascular occlusion Takayasu's arteritis A 32 years old female was admitted to hospital due to acute abdominal pain, nausea, vomiting and liquid stools. Physical examination was normal except for pain on her left inferior abdominal quadrant without peritoneal irritation signs. An abdominal CAT-scan suggested thrombosis at celiac trunk, although the echo Doppler showed no alterations except for signs of ischemia in the distal branch of the superior mesenteric artery. An exploratory laparotomy was performed disclosing a necrosis of the distal ileum and cecum, diffuse peritonitis and thrombosis of the ileocecoapendiculocolic artery. No vasculitis lesions were found in the arteries of medium size examined. A history of intermittent claudication for the past 3 years as well as acrocyanosis, asymmetry of pulses and blood pressure in the superior extremities was ascertained after the surgery. A MRI angiogram showed multiple stenoses and irregularities at the celiac trunk, hepatic, superior mesenteric and fibular arteries. No abnormalities at the aortic arch and its main branches were documented. A sepsis due to Candida sp complicated her postoperatory period. After recovery, prednisone 1 mg/kg/day was started and the anticoagulation continued. The abdominal pain, intermittent claudication and superior limb acrocyanosis disappeared. This is an unusual case of type IV Takayasu's arteritis with acute abdominal signs as the first manifestation (Rev Méd Chile 2002; 130: 1159-64)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.130 n.10 20022002-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002001000011es10.4067/S0034-98872002001000011
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Magnetic resonance imaging Mesenteric vascular occlusion Takayasu's arteritis
spellingShingle	Magnetic resonance imaging Mesenteric vascular occlusion Takayasu's arteritis Cornejo R,Rodrigo Gatica R,Héctor Segovia R,Erico Cortés M,Claudia Necrosis intestinal como presentación de enfermedad de Takayasu: Report of one case
description	A 32 years old female was admitted to hospital due to acute abdominal pain, nausea, vomiting and liquid stools. Physical examination was normal except for pain on her left inferior abdominal quadrant without peritoneal irritation signs. An abdominal CAT-scan suggested thrombosis at celiac trunk, although the echo Doppler showed no alterations except for signs of ischemia in the distal branch of the superior mesenteric artery. An exploratory laparotomy was performed disclosing a necrosis of the distal ileum and cecum, diffuse peritonitis and thrombosis of the ileocecoapendiculocolic artery. No vasculitis lesions were found in the arteries of medium size examined. A history of intermittent claudication for the past 3 years as well as acrocyanosis, asymmetry of pulses and blood pressure in the superior extremities was ascertained after the surgery. A MRI angiogram showed multiple stenoses and irregularities at the celiac trunk, hepatic, superior mesenteric and fibular arteries. No abnormalities at the aortic arch and its main branches were documented. A sepsis due to Candida sp complicated her postoperatory period. After recovery, prednisone 1 mg/kg/day was started and the anticoagulation continued. The abdominal pain, intermittent claudication and superior limb acrocyanosis disappeared. This is an unusual case of type IV Takayasu's arteritis with acute abdominal signs as the first manifestation (Rev Méd Chile 2002; 130: 1159-64)
author	Cornejo R,Rodrigo Gatica R,Héctor Segovia R,Erico Cortés M,Claudia
author_facet	Cornejo R,Rodrigo Gatica R,Héctor Segovia R,Erico Cortés M,Claudia
author_sort	Cornejo R,Rodrigo
title	Necrosis intestinal como presentación de enfermedad de Takayasu: Report of one case
title_short	Necrosis intestinal como presentación de enfermedad de Takayasu: Report of one case
title_full	Necrosis intestinal como presentación de enfermedad de Takayasu: Report of one case
title_fullStr	Necrosis intestinal como presentación de enfermedad de Takayasu: Report of one case
title_full_unstemmed	Necrosis intestinal como presentación de enfermedad de Takayasu: Report of one case
title_sort	necrosis intestinal como presentación de enfermedad de takayasu: report of one case
publisher	Sociedad Médica de Santiago
publishDate	2002
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002001000011
work_keys_str_mv	AT cornejorrodrigo necrosisintestinalcomopresentaciondeenfermedaddetakayasureportofonecase AT gaticarhector necrosisintestinalcomopresentaciondeenfermedaddetakayasureportofonecase AT segoviarerico necrosisintestinalcomopresentaciondeenfermedaddetakayasureportofonecase AT cortesmclaudia necrosisintestinalcomopresentaciondeenfermedaddetakayasureportofonecase
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Necrosis intestinal como presentación de enfermedad de Takayasu: Report of one case

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