Clinical usefulness of abdominal CT-scanning in Henoch-Schönlein vasculitis.
The abdominal CT appearance is reported in a patient with Henoch-Schönlein vasculitis having symptoms of acute abdomen. Initial CT-scan showed segmented mural thickening of the small bowel loops, strongly suggesting the diagnosis of gastrointestinal involvement of vasculitis. Adequate treatment was started without the need for laparotomy. The CT appearance completely resolved after steroid therapy. Abdominal CT-scanning seems useful in the differential diagnosis of acute abdomen in patients with vasculitis.
Nota
M E
ME
Department of Internal Medicine, Martini Hospital, Groningen, Netherlands.
Gökemeijer
J D
JD
van der Laan
J G
JG
D000006:Abdomen, Acute / Q000000981:diagnostic imaging* / Q000188:drug therapy; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000368:Aged; D002763:Cholecystectomy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D011695:IgA Vasculitis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D007421:Intestine, Small / Q000098:blood supply*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000188:drug therapy; D014057:Tomography, X-Ray Computed
D000305:Adrenal Cortex Hormones