A case of intestinal perforation in Churg-Strauss syndrome patient.
- Author:
Mi Jung OH
1
;
Sang Hoon JI
;
Do Hyoung LIM
;
Tae Hoon MIN
;
Byung Jae LEE
;
Dong Chull CHOI
;
Joung Ho HAN
Author Information
1. Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. dcchoi@smc.samsung.co.kr
- Publication Type:Case Report
- Keywords:
Churg-Strauss syndrome;
Intestinal perforation
- MeSH:
Adult;
Churg-Strauss Syndrome*;
Emergencies;
Eosinophils;
Granuloma;
Humans;
Intestinal Perforation*;
Ischemia;
Laparotomy;
Ulcer;
Vasculitis
- From:Korean Journal of Medicine
2004;67(2):208-212
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Churg-Strauss syndrome (CSS) is a disorder characterized by systemic small-to-medium vessel vasculitis, extravascular granulomas and hypereosinophilia. Gastrointestinal manifestations can occur in 37~62% of CSS patients but intestinal perforation is very rarely demonstrated. We report a case of 34-year-old man with CSS, who presented with intestinal perforation three months after diagnosed as CSS. Emergency laparotomy was performed and jejunal ulcers with perforation were found. Partial jejunectomy was performed. Pathologic findings of the resected specimen were interpretated as mucosal ulcerations which are considered to be caused by ischemia secondary to the vasculitis and eosinophilic infiltration. Since the operation, the patient has been asymptomatic.
