A Case of Recurrent Bowel Perforation in a Patient with Churg-Strauss Syndrome.
10.4078/jkra.2010.17.3.326
- Author:
Chang Hoon LEE
1
;
Jeong Hoon SONG
;
Sung Jo JANG
;
Yong Jae HAN
;
Myeung Su LEE
Author Information
1. Department of Internal Medicine, College of Medicine, Wonkwang University, Iksan, Korea. ckhlms@hanmail.net
- Publication Type:Case Report
- Keywords:
Churg-Strauss syndrome;
Recurrent bowel perforation;
Laparoscopic closure;
Steroid
- MeSH:
Abdomen;
Abdominal Pain;
Aged;
Asthma;
Churg-Strauss Syndrome;
Eosinophilia;
Humans;
Intestinal Perforation;
Physical Examination;
Vasculitis
- From:The Journal of the Korean Rheumatism Association
2010;17(3):326-330
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Churg-Strauss syndrome is a rare systemic disorder characterized by asthma, eosionphilia and necrotizing vasculitis affecting small-to-medium-sized vessels. Although it is frequently associated with gastrointestinal mucosal lesions, recurrent bowel perforation is rare and potentially life threatening. We report a case of a 66-year-old man with Churg-Strauss syndrome, who presented with recurrent small bowel perforation. He was admitted with abdominal pain developed previous night, who had a previous small bowel perforation history treated with laparoscopic closure 5 months ago. Laboratory data showed remarkable eosinophilia. Physical examination indicated positive signs of peritoneal irritation in the entire abdomen, and abdominal computed tomography scanning showed edematous small bowel with intra-abdominal free air, suggesting intestinal perforation. He underwent laparoscopic small bowel closure and was treated with steroid.
