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Severe gastrointestinal involvement in systemic sclerosis.

Sotiris C Plastiras1, Michael Tzivras, Panayiotis G Vlachoyiannopoulos

  • 1Department of Pathophysiology, University of Athens Medical School, 75 M. Asias Street, Athens, 11527, Greece. splastiras@panafonet.gr

Clinical Rheumatology
|March 22, 2006
PubMed
Summary

Systemic sclerosis (SSc) commonly affects the gastrointestinal tract. This case report details recurrent bleeding from multiple peptic ulcers in an SSc patient, a rare complication.

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Area of Science:

  • Gastroenterology
  • Rheumatology
  • Internal Medicine

Background:

  • Systemic sclerosis (SSc) frequently involves the gastrointestinal tract (GIT), primarily due to dysmotility and diverticular disease.
  • GIT complications in SSc can be severe, debilitating, and life-threatening.

Observation:

  • This case report highlights a rare presentation of SSc-associated gastrointestinal bleeding.
  • The patient experienced recurrent bleeding attributed to multiple peptic ulcers.

Findings:

  • Surgical interventions including vagotomy and pyloroplasty, along with cholecystectomy, were performed.
  • Subcutaneous somatostatin administration was crucial in halting the recurrent bleeding and stabilizing the patient.

Implications:

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  • This case underscores the importance of considering severe gastrointestinal bleeding as a potential complication of systemic sclerosis.
  • Effective management strategies may involve a combination of surgical and medical interventions, such as somatostatin therapy.