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KMID : 0388220100170030326
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Journal of the Korean Rheumatism Association
2010 Volume.17 No. 3 p.326 ~ p.330
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A Case of Recurrent Bowel Perforation in a Patient with Churg-Strauss Syndrome
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Lee Chang-Hoon
Song Jeong-Hoon
Jang Sung-Jo
Han Yong-Jae
Lee Myeung-Su
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Abstract
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Churg-Strauss syndrome is a rare systemic disorder characterized by asthma, eosionphilia and necrotizing vasculitis affecting small-to-medium-sized vessels. Although it is frequently associated with gastrointestinal mucosal lesions, recurrent bowel perforation is rare and potentially life threatening. We report a case of a 66-year-old man with Churg-Strauss syndrome, who presented with recurrent small bowel perforation. He was admitted with abdominal pain developed previous night, who had a previous small bowel perforation history treated with laparoscopic closure 5 months ago. Laboratory data showed remarkable eosinophilia. Physical examination indicated positive signs of peritoneal irritation in the entire abdomen, and abdominal computed tomography scanning showed edematous small bowel with intra-abdominal free air, suggesting intestinal perforation. He underwent laparoscopic small bowel closure and was treated with steroid.
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KEYWORD
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Churg-Strauss syndrome, Recurrent bowel perforation, Laparoscopic closure, Steroid
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