A Case of Colon Ileus due to Vasculitis in Malignant Rheumatoid Arthritis

Abstract

F i g. 1 E n d o s c o p i c f i n d i n g s h o we d s e v e r e s t e n o s i s a t s i g mo i d c o l o n. F i g. 2 Ab d o mi n a l C T r e v e a l e d wa l l t h i c k n e s s o f c o l o n a t n e a r b y s i g mo i d c o l o n (a r r o w) .

Recurrent Stenosis of the Ileum Caused by Rheumatoid Vasculitis

“…The authors also reviewed four cases of intestinal vasculitis with RA. Furthermore, only two cases of intestinal obstruction due to rheumatoid vasculitis have been reported in Japan; one involved an obstruction in the sigmoid colon, and the other involved an obstruction in the ileum (11). Because of the serious nature of bowel obstruction due to rheumatoid vasculitis, it is mandatory to consider this diagnosis, although rare, when patients with a long history of severe RA show abdominal symptoms.…”