Hypersensitivitatsvaskulitis als ursache eines akuten abdomens

Translated title of the contribution: Hypersensitivity vasculitis causing an acute abdomen

Sandra Hanelt, Josef Karner, Peter Peichl, Werner Hackl, Martin Klimpfinger

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

The members of a family of four persons suffered acute gastroenteritis after eating a meal consisting of chicken. While three of them recovered rapidly, the 18-year old son developed an acute abdomen which had to be treated surgically and led to a complicated stay at the intensive care unit. Intraoperatively, a mild insignificantly inflamed appendix and an obscure segmental inflammatory process of the small bowel with local peritonitis were seen; this required an appendectomy and a peritoneal lavage. The development of bacterial peritonitis with multiple organ dysfunction required several surgical revisions with an open abdominal toilet treatment. Histological examination of the resected appendix specimen showed a severe primary fibrinoid necrotizing vasculitis with epithelioid-granulomatous reaction. Diseases such as Panenteritis nodosa, Wegener's disease and Churg-Strauss's syndrome were excluded by negative serology. By a process of exclusion, a hypersensitivity vasculitis was diagnosed and treated successfully with a high-dose cortisone regime.

Original languageGerman
Pages (from-to)226-229
Number of pages4
JournalWiener Klinische Wochenschrift
Volume111
Issue number6
Publication statusPublished - Mar 26 1999

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Keywords

  • Acute abdomen
  • Case report
  • Gastroenteritis
  • Hypersensitivity angiitis
  • Vasculitis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Hanelt, S., Karner, J., Peichl, P., Hackl, W., & Klimpfinger, M. (1999). Hypersensitivitatsvaskulitis als ursache eines akuten abdomens. Wiener Klinische Wochenschrift, 111(6), 226-229.