Churg-Strauss Syndrome with Multiple Small Bowel Perforation: A case report.
- Author:
Jeong Hoon KIM
1
;
Ki Young YOON
;
Yeon Myung SHIN
Author Information
1. Department of Surgery, Kosin Medical Collage, Pusan, Korea.
- Publication Type:Case Report
- Keywords:
Churg-Strauss syndrome
- MeSH:
Adult;
Appendix;
Asthma;
Churg-Strauss Syndrome*;
Emergencies;
Eosinophilia;
Eosinophils;
Gastrointestinal Tract;
Granuloma;
Heart;
Humans;
Intestine, Small;
Laparotomy;
Lung;
Male;
Peritonitis;
Skin;
Vasculitis;
Veins
- From:Journal of the Korean Surgical Society
1998;54(1):148-152
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Churg and Strauss established the clinicopathologic features of allergic angiitis and granulomatosis. The condition is rare and is characterized by involvement of vessels of all sizes(including veins and venules), especially the pulmonary vessel. intra- and extravascular granuloma formation, eosinophil infiltration of tissue and an association with asthma and peripheral eosinophilia. Churg Strauss syndrome (CSS) involves the GI tract, the skin, the heart, the lungs etc. We report a case of CSS in 38 year old male patient, who presented acute peritonitis and who had had 4-year history of bronchial asthma. An emergency laparotomy revealed multiple impending perforations in small intestine. A skin lesion and neuropathy developed postoperatively. Microscopic exammination of the appendix and the skin lesion showed thrombs in the lumens of vessels, vasculitis and eosinophilic infiltration to the lesion and the vessel wall.
