Arthritis with sigmoid volvulus and HL-A B27.
A 43-year-old male developed seronegative polyarthritis after a short attack of diarrhoea. For about two years before he had experienced intermittent abdominal pain, distension and constipation. Laparotomy showed a chronic sigmoid volvulus for which sigmoid colectomy was performed. Post-operatively he had no further bowel symptoms, no further arthritis and there was radiological improvement of involved joints. Tissue typing showed HL-A B27 antigen.
D000328:Adult; D000843:Ankle Joint; D001168:Arthritis / Q000150:complications* / Q000276:immunology; D003082:Colectomy; D012809:Colon, Sigmoid / Q000276:immunology / Q000601:surgery; D003108:Colonic Diseases / Q000150:complications / Q000276:immunology / Q000601:surgery; D006680:HLA Antigens; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications* / Q000276:immunology; D008297:Male; D008683:Metatarsophalangeal Joint; D013640:Tarsal Joints
D006680:HLA Antigens