ABDOMINAL COMPUTED-TOMOGRAPHY IN LUPUS MESENTERIC ARTERITIS

被引：18

作者：

KIRSHY, DM ^{[1
]}

GORDON, DH ^{[1
]}

ATWEH, NA ^{[1
]}

机构：

[1] SUNY HLTH SCI CTR,DEPT RADIOL,450 CLARKSON AVE,BROOKLYN,NY 11203

来源：

COMPUTERIZED MEDICAL IMAGING AND GRAPHICS | 1991年 / 15卷 / 05期

关键词：

COMPUTED TOMOGRAPHY; MESENTERIC ARTERITIS; SYSTEMIC LUPUS ERYTHEMATOSUS;

D O I：

10.1016/0895-6111(91)90147-N

中图分类号：

R318 [生物医学工程];

学科分类号：

0831 ;

摘要：

We report the abdominal computed tomography (CT) findings in a patient with systemic lupus erythematosus who developed signs of an acute abdomen secondary to mesenteric arteritis. Initial CT scan demonstrated ascites and wall thickening of the duodenum and jejunum. After treatment with high dose intravenous steroids, follow-up CT scan demonstrated a normal duodenum and small bowel. This is the first surgically proven case of lupus mesenteric arteritis resulting in bowel ischemia that is demonstrated on CT before and after medical therapy. Lupus mesenteric arteritis should be included in the differential diagnosis of causes of bowel wall thickening and ischemia, especially if mesenteric vessels appear prominent.

引用

页码：369 / 372

页数：4

共 5 条

[1] Hahn, Systemic lupus erythematosus, Harrison's Principles of Internal Medicine, pp. 1418-1423, (1987)
[2] Zizic, Classen, Stevens, Acute abdominal complications of systemic lupus erythematosis and polyarteritis nodosa, Am. J. Med., 73, pp. 525-530, (1982)
[3] Prouse, Thompson, Gumpel, Systemic lupus erythematosus and abdominal pain, Br. J. Rheumatology., 22, 3, pp. 172-175, (1983)
[4] Train, Hertz, Cohen, Samach, Lupus vasculitis, reversal of radiographic findings after steroid therapy, Am. J. Gastroenterol., 76, pp. 460-463, (1981)
[5] Heiberg, Wolverson, Sundaram, Shields, Body computer tomography findings in systemic lupus erythematosis, J. Comput. Tomogr., 12, pp. 68-74, (1988)

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