イレウスを合併した成人 IgA 血管炎の 例

Shunsuke Takahashi, Makoto Takahashi, Chihoko Aratono, Risa Iwao, Hirotaka Tsuru, Kousuke Maehara, Masanori Hisaoka, Eikichi Ihara

研究成果: Contribution to journalArticle

抜粋

A 78-year-old man was admitted to our hospital complaining of abdominal pain. He had purpura, and endoscopy revealed mucosal edema and erosions in the duodenum, suggesting IgA vasculitis (IAV). Deep duodenal biopsy specimens containing submucosal vessels enabled us to make a pathological diagnosis of IAV with necrotizing vasculitis. On the sixth hospital day, he developed abdominal bloating and lack of bowel sounds. Computed tomography (CT) showed dilatation of the small intestine. We diagnosed functional ileus since there was no evidence of organic lesions causing intestinal obstruction on CT, including perforation or intussusception. An ileus tube was inserted for decompression of the small intestine. In addition, intravenous prednisolone (50 mg/day) was administered. On the third day of this treatment, his abdominal symptoms were improved with resolution of ileus, allowing us to remove the ileus tube on the following day. In conclusion, endoscopic findings are helpful for suggesting the possibility of IAV, while deep mucosal biopsy is key for pathological diagnosis.

寄稿の翻訳されたタイトルAdult-onset IgA vasculitis with functional ileus: A case report
元の言語Japanese
ページ(範囲)2617-2623
ページ数7
ジャーナルGASTROENTEROLOGICAL ENDOSCOPY
61
発行部数12
DOI
出版物ステータス出版済み - 2019

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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  • これを引用

    Takahashi, S., Takahashi, M., Aratono, C., Iwao, R., Tsuru, H., Maehara, K., Hisaoka, M., & Ihara, E. (2019). イレウスを合併した成人 IgA 血管炎の 例. GASTROENTEROLOGICAL ENDOSCOPY, 61(12), 2617-2623. https://doi.org/10.11280/gee.61.2617