title: Allergic granulomatous angitis (Churg-Strauss syndrome) with multiple intestinal fistulas.
abstract: A 40-yr-old man who had a known diagnosis of allergic granulomatous angitis (Churg-Strauss syndrome) and had been on steroids was found to have a stone in the common bile duct. At surgery, multiple internal fistulas were found in the small bowel. Cholecystectomy, removal of the stone in the common bile duct, and resection of the small bowel because of fistulas were performed. To our knowledge, the formation of an intestinal fistula has not been reported as a clinical manifestation of allergic granulomatous angitis. This rare condition occurs in the terminal stage of this disease.
authors.affiliation: Department of Surgery II, Nagasaki University School of Medicine, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Matsuo
authors.forename: T
authors.initials: T
authors.lastname: Tomioka
authors.forename: Y
authors.initials: Y
authors.lastname: Tajima
authors.forename: K
authors.initials: K
authors.lastname: Takayama
authors.forename: H
authors.initials: H
authors.lastname: Tamura
authors.forename: Y
authors.initials: Y
authors.lastname: Higami
authors.forename: K
authors.initials: K
authors.lastname: Hirose
authors.forename: T
authors.initials: T
authors.lastname: Kanematsu
mesh_terms: D000328:Adult; D015267:Churg-Strauss Syndrome / Q000150:complications*; D042882:Gallstones / Q000150:complications; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications*; D007421:Intestine, Small; D008297:Male