16 research outputs found
Benefits of chronic total coronary occlusion percutaneous intervention in patients with heart failure and reduced ejection fraction: insights from a cardiovascular magnetic resonance study
Constitutive expression, purification and characterization of a phosphoglucomutase from Fusarium oxysporum
Development and Validation of a Scoring System for Predicting Periprocedural Complications During Percutaneous Coronary Interventions of Chronic Total Occlusions: The Prospective Global Registry for the Study of Chronic Total Occlusion Intervention (PROGRESS CTO) Complications Score
Isolated colonic leukocytoclastic vasculitis causing segmental megacolon: Report of a rare case
We report the case of a 44-year-old white man who presented with
progressively worsening crampy abdominal pain and distention.
Deterioration of his clinical picture along with leukocytosis and
radiographic evidence of severe colonic dilation rendered exploratory
laparotomy necessary. Greatly distended and inflamed transverse and
descending colon were evident and an extended left colectomy was
performed. Characteristic changes of leukocytoelastic vasculitis in the
serosal and muscular layers of the resected colon were demonstrated at
histopathologic examination. Systemic leukocytoclastic vasculitis,
usually coexisting with Henoch-Schonlein purpura, commonly affects the
small bowel with clinical evidence of ischemia or bleeding. Colon
involvement is infrequently reported in the context of systemic disease.
Isolated colonic leukocytoclastic vasculitis without extraintestinal
manifestations is rare. A previously unreported case of localized
leukocytoclastic vasculitis of the left colon resulting in the
impressive presentation of megacolon, without the presence of any
precipitating factor or associated systemic disease is presented here,
with an overview of the related literature