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Polyarteritis nodosa and acute abdomen: A role for laparoscopy?
Emanuele Asti1, Luca Pogliani1, Stefania Tritella2
1Department of General Surgery, University of Milan Medical School, IRCCS Policlinico San Donato, Italy.
International Journal of Surgery Case Reports
|December 15, 2015
Summary
Polyarteritis nodosa can cause mesenteric vasculitis, leading to bowel ischemia. Early diagnosis and treatment with corticosteroids and dialysis can prevent surgical intervention.
Area of Science:
- Gastroenterology
- Nephrology
- Vascular Surgery
Background:
- Mesenteric vasculitis, often secondary to polyarteritis nodosa, is a rare cause of bowel ischemia.
- Polyarteritis nodosa can present with abdominal pain, renal failure, and edema.
Purpose of the Study:
- To report a case of mesenteric vasculitis secondary to polyarteritis nodosa.
- To highlight the diagnostic and management strategies for this condition.
Main Methods:
- Clinical presentation review
- Computed tomography (CT) scan for diagnosis
- Laparoscopy for surgical assessment
- Corticosteroid therapy and hemodialysis for management
Main Results:
- Patient presented with acute abdominal pain, edema, renal failure, and CT findings suggestive of mesenteric ischemia.
- Laparoscopy excluded bowel necrosis, avoiding resection.
- Successful management with corticosteroids and hemodialysis.
Conclusions:
- Mesenteric vasculitis secondary to polyarteritis nodosa requires prompt diagnosis and management.
- Non-operative management with corticosteroids and supportive care, including dialysis, can be effective.
- Early surgical assessment is crucial to rule out complications like bowel necrosis.
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