| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
SCIENTIFIC EXHIBIT |
1 From the Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1 Poongnap Dong Songpa-Ku, Seoul 138-040, Korea (H.K.H., S.H.L., S.E.R., J.H.K., J.G.K., P.N.K., M.G.K., Y.H.A.); the Department of Radiology, Kangnam St Mary Hospital, Catholic University College of Medicine, Seoul, Korea (J.Y.B.); the Department of Radiology, Samg Sung Medical Center College of Medicine, Sung Kyun Kwan University, Seoul, Korea (H.K.L.); and the Department of Radiology, Seoul National University College of Medicine, Seoul, Korea (J.W.C.). Presented as a scientific exhibit at the 1998 RSNA scientific assembly. Received February 22, 1999; revision requested April 19 and final revision received July 6; accepted July 7. Address reprint requests to H.K.H. (e-mail: hkha@www.amc.seoul.kr).
Vasculitides can cause local or diffuse pathologic changes in the gastrointestinal tract, resulting in nonspecific paralytic ileus, mesenteric ischemia, submucosal edema and hemorrhage, or bowel perforation or stricture. The extent and clinical course of disease depend on the size and location of the affected vessel and the histologic characteristics of the lesion. Vasculitis may primarily involve large vessels (eg, giant cell arteritis, Takayasu arteritis), medium-sized vessels (eg, polyarteritis nodosa, Kawasaki disease, primary granulomatous central nervous system vasculitis), or small vessels (eg, Wegener granulomatosis, Churg-Strauss syndrome, microscopic polyangiitis, Henoch-Schönlein syndrome, systemic lupus erythematosus, rheumatoid vasculitis, Behçet syndrome). Radiologic findings in various types of vasculitis often overlap considerably and therefore have limited value in making a specific diagnosis. Nevertheless, the possibility of vasculitis should be considered whenever mesenteric ischemic changes occur in young patients, are noted at unusual sites (eg, stomach, duodenum, rectum), have a tendency to concomitantly involve the small and large intestine, and are associated with genitourinary involvement. Knowledge of systemic clinical manifestations in affected patients may suggest and even help establish the specific diagnosis.
Index Terms: Behçet disease, 70.629 • Gastrointestinal tract, angiography, 70.124 • Gastrointestinal tract, CT, 70.1211 • Gastrointestinal tract, inflammation, 70.62 • Gastrointestinal tract, vasculitis, 70.62 • Lupus erythematosus, 70.612 • Vasculitis, 70.62
This article has been cited by other articles:
|
|
 |
|
  E. S. Rhodes, J. S. Pekala, J. M. Gemery, and K. W. Dickey Case 129: Polyarteritis Nodosa Radiology, January 1, 2008; 246(1): 322 - 326. [Full Text] [PDF]
|
|
|
|
|
|
P. T. Johnson, K. M. Horton, and E. K. Fishman Case 127: Henoch-Schonlein Purpura Radiology, December 1, 2007; 245(3): 909 - 913. [Full Text] [PDF]
|
|
|
|
 |
|
 M. Macari, A. J. Megibow, and E. J. Balthazar A Pattern Approach to the Abnormal Small Bowel: Observations at MDCT and CT Enterography Am. J. Roentgenol., May 1, 2007; 188(5): 1344 - 1355. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Y G Kim, H K Ha, S S Nah, C-K Lee, H-B Moon, and B Yoo Acute abdominal pain in systemic lupus erythematosus: factors contributing to recurrence of lupus enteritis. Ann Rheum Dis, November 1, 2006; 65(11): 1537 - 1538. [Full Text] [PDF]
|
|
|
|
 |
|
 T. A. Lalani, J. P. Kanne, G. A. Hatfield, and P. Chen Imaging Findings in Systemic Lupus Erythematosus RadioGraphics, July 1, 2004; 24(4): 1069 - 1086. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. J. Madureira The Comb Sign Radiology, March 1, 2004; 230(3): 783 - 784. [Full Text] [PDF]
|
|
|
|
|
|
T. Frauenfelder, S. Wildermuth, B. Marincek, and T. Boehm Nontraumatic Emergent Abdominal Vascular Conditions: Advantages of Multi-Detector Row CT and Three-Dimensional Imaging RadioGraphics, March 1, 2004; 24(2): 481 - 496. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Senf, J. S. Jurgensen, U. Teichgraber, D. Kampf, and R. Schindler Ruptured arterial aneurysm of the kidney in a patient with Wegener's granulomatosis Nephrol. Dial. Transplant., December 1, 2003; 18(12): 2671 - 2673. [Full Text] [PDF]
|
|
|
|
 |
|
 A. Sigirci, M. Senol, E. Aydin, R. Kutlu, A. Alkan, M. T. Altinok, S. Yologlu, T. Baysal, and K. Sarac Doppler Waveforms and Blood Flow Parameters of the Superior and Inferior Mesenteric Arteries in Patients Having Behcet Disease With and Without Gastrointestinal Symptoms: Preliminary Data J. Ultrasound Med., May 1, 2003; 22(5): 449 - 457. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. Wiesner, B. Khurana, H. Ji, and P. R. Ros CT of Acute Bowel Ischemia Radiology, March 1, 2003; 226(3): 635 - 650. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Cognet, D. B. Salem, M. Dranssart, J.-P. Cercueil, M. Weiller, E. Tatou, L. Boyer, and D. Krause Chronic Mesenteric Ischemia: Imaging and Percutaneous Treatment RadioGraphics, July 1, 2002; 22(4): 863 - 879. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. J. Pickhardt and V. W. Curran Fulminant Enterocolitis in Wegener's Granulomatosis: CT Findings with Pathologic Correlation Am. J. Roentgenol., December 1, 2001; 177(6): 1335 - 1337. [Full Text] [PDF]
|
|
|
|
|
|
A. D. Levy, C. A. Rohrmann Jr, and H. K. Ha Invited Commentary Author's Response RadioGraphics, July 1, 2001; 21(4): 924 - 926. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| RADIOGRAPHICS | RADIOLOGY | RSNA JOURNALS ONLINE |
