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Related Experiment Videos

Small bowel stricture caused by rheumatoid vasculitis.

S E Kuehne1, G P Gauvin, M J Shortsleeve

  • 1Department of Radiology, Mount Auburn Hospital, Cambridge, MA 02238.

Radiology
|July 1, 1992
PubMed
Summary

Rheumatoid arthritis can rarely affect the small bowel via vasculitis, leading to complications like strictures. This case highlights rheumatoid vasculitis causing a small bowel stricture, a previously unreported association in radiology.

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Area of Science:

  • Gastroenterology
  • Rheumatology
  • Radiology

Background:

  • Rheumatoid arthritis (RA) is a chronic autoimmune disease primarily affecting joints.
  • Small bowel involvement in RA is uncommon, typically manifesting as vasculitis.
  • RA-associated vasculitis can lead to severe gastrointestinal complications.

Observation:

  • A patient presented with a 3-week history of postprandial bloating, cramping, and vomiting.
  • Radiological examination revealed a partial small bowel obstruction.
  • Surgical resection identified a small bowel stricture as the cause.

Findings:

  • Pathological examination confirmed the stricture was caused by rheumatoid vasculitis.
  • This represents the first reported case of rheumatoid vasculitis causing a small bowel stricture in the radiology literature.

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  • The findings underscore a rare but serious gastrointestinal manifestation of RA.

    • Implications:

    • Highlights the importance of considering RA vasculitis in patients with unexplained small bowel obstruction.
    • Suggests a need for increased awareness among radiologists and gastroenterologists regarding this rare complication.
    • Emphasizes the diagnostic and therapeutic challenges posed by gastrointestinal vasculitis in RA.