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Vasculitis-induced colonic strictures: report of two cases
J P Keating1, B R King, D N Kenwright
1Department of Surgery, Wellington Hospital, New Zealand.
Diseases of the Colon and Rectum
|October 27, 1998
Summary
Systemic vasculitis can affect the colon, causing rare strictures in rheumatoid vasculitis and systemic lupus erythematosus. Surgical resection is effective for these established colonic strictures.
Area of Science:
- Gastroenterology
- Rheumatology
- Pathology
Background:
- Systemic vasculitis encompasses a group of rare diseases characterized by inflammation of blood vessels.
- Gastrointestinal involvement in systemic vasculitis is uncommon, with colonic strictures being particularly rare.
Observation:
- This report details two unique cases of symptomatic colonic strictures.
- One stricture was associated with rheumatoid vasculitis, and the other with systemic lupus erythematosus.
Findings:
- Both patients required surgical resection of the affected colonic segments.
- The surgical outcomes for both colonic strictures were satisfactory.
Implications:
- These cases highlight the diverse clinical manifestations of gastrointestinal involvement in systemic vasculitis.
- While immunosuppression is crucial for managing vasculitis, surgical intervention remains necessary for treating established colonic strictures.