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Scleroderma and intestinal perforation.

P T Regan, L H Weiland, M G Geall

    The American Journal of Gastroenterology
    |December 1, 1977
    PubMed
    Summary
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    Scleroderma can cause intestinal perforation, including colonic perforations linked to fecal impaction or vasculitis. Rare cases of spontaneous small intestine perforation also occur in scleroderma patients.

    Area of Science:

    • Gastroenterology
    • Rheumatology
    • Pathology

    Background:

    • Scleroderma is a systemic autoimmune disease characterized by fibrosis and vascular abnormalities.
    • Intestinal complications are a known manifestation of scleroderma, impacting motility and integrity.
    • Gastrointestinal involvement significantly affects patient morbidity and mortality.

    Observation:

    • Four cases of intestinal perforation in patients with scleroderma were reviewed.
    • Three cases involved colonic perforation, with two linked to fecal impaction and stercoral ulceration.
    • One colonic perforation showed evidence of underlying vasculitis.

    Findings:

    • The study identified a strong association between scleroderma and intestinal perforation.
    • Fecal impaction, stercoral ulceration, and vasculitis are potential contributing factors to colonic perforation in scleroderma.

    Related Experiment Videos

  • A rare instance of spontaneous small intestine perforation was also documented.
  • Implications:

    • These findings highlight the critical need for vigilant monitoring of gastrointestinal complications in scleroderma patients.
    • Early recognition and management of fecal impaction and vasculitis may help prevent intestinal perforation.
    • Further research is warranted to elucidate the precise mechanisms linking scleroderma to intestinal perforation.