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Related Experiment Videos

Giant cell arteritis presenting as small bowel infarction.

Aniyizhai Annamalai1, Mark L Francis, Sriya K M Ranatunga

  • 1Department of General Internal Medicine, Southern Illinois University School of Medicine, Springfield, IL 62794-9636, USA. aannamalai@siumed.edu

Journal of General Internal Medicine
|March 14, 2007
PubMed
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Giant cell arteritis (GCA) rarely affects the intestines, but can cause small bowel obstruction and infarction. Early diagnosis and treatment of GCA are crucial for better patient outcomes.

Area of Science:

  • Vascular Medicine
  • Gastroenterology
  • Rheumatology

Background:

  • Giant cell arteritis (GCA) typically affects cranial arteries.
  • Gastrointestinal (GI) involvement in GCA is uncommon.
  • Mesenteric vasculitis is a rare cause of bowel obstruction.

Observation:

  • A patient presented with small bowel obstruction due to mesenteric artery infarction.
  • The patient's condition was attributed to a rare manifestation of GCA.
  • Despite aggressive steroid therapy, the patient experienced multiple complications and mortality.

Findings:

  • This case report highlights GCA as a potential cause of small bowel obstruction and infarction.
  • Literature review identified 11 previous cases of GCA-related bowel involvement.

Related Experiment Videos

  • Vasculitis should be considered in the differential diagnosis of GI emergencies.

    • Implications:

    • Early consideration of vasculitis in the differential diagnosis can improve therapeutic efficacy.
    • This case underscores the importance of recognizing rare GCA manifestations.
    • Timely diagnosis and management of GCA are critical for preventing severe complications.