title: [Gastrointestinal bleeding and intestinal perforation due to polyarteritis nodosa in a patient with celiac disease. A case report].
abstract: Complications of celiac disease could present with intestinal perforation and rarely, gastrointestinal bleeding, which are usually secondary to nongranulomatous ulcerative jejunoileitis or T-cell lymphoma. We describe the case of a 66-year-old male patient with an 8-year history of celiac disease (CD) who presented with recurrent abdominal pain and gastrointestinal bleeding. Several tests were performed to find out possible complications associated to CD. Due to an overt gastrointestinal bleeding, an arteriography was performed and signs of polyarteritis nodosa were found. Vascular disease was aggressive, and despite multiple medical and surgical treatments the patient died. As arteriography is not usually performed for the study of the complications of CD, it is possible that the association between CD and PAN has been underdiagnosed.
authors.affiliation: Servicio de Gastroenterología, Hospital Italiano, Ciudad Autónoma de Buenos Aires, Argentina. fernando.vandomselaar@hospitalitaliano.org.ar
authors.forename: Fernando
authors.initials: F
authors.lastname: Van Domselaar
authors.forename: María D
authors.initials: MD
authors.lastname: Matoso
authors.forename: Héctor L
authors.initials: HL
authors.lastname: Piccioni
authors.forename: Emilio
authors.initials: E
authors.lastname: Varela
authors.forename: Mariano M
authors.initials: MM
authors.lastname: Marcolongo
authors.forename: Fernando
authors.initials: F
authors.lastname: Bonadeo
authors.forename: G Ojea
authors.initials: GO
authors.lastname: Quintana
authors.forename: Demetrio
authors.initials: D
authors.lastname: Cavadas
authors.forename: Eduardo G
authors.initials: EG
authors.lastname: Mullen
authors.forename: Juan
authors.initials: J
authors.lastname: De Paula
mesh_terms: D000368:Aged; D002446:Celiac Disease / Q000150:complications*; D017809:Fatal Outcome; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology*; D008297:Male; D010488:Polyarteritis Nodosa / Q000150:complications*