Journal List > J Korean Rheum Assoc > v.17(3) > 1003747

Lee, Song, Jang, Han, and Lee: A Case of Recurrent Bowel Perforation in a Patient with Churg-Strauss Syndrome

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.

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Fig. 1.
Chest radiography shows bilateral patchy consolidation and increased interstitial marking of left lower lung field with bihilar nodular lesion.
jkra-17-326f1.tif
Fig. 2.
Abdominal computed tomography image shows intra-abdominal free-air (arrow) indicating bowel perforation.
jkra-17-326f2.tif
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