Celiac Artery Vasculitis

Chait, Jesse; Pavalonis, Albert; Rajaee, Sareh; Hingorani, Anil; Ascher, Enrico

doi:10.1016/j.avsg.2018.08.106

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…In patients with systemic vasculitis, GI manifestations usually indicate a poor prognosis. 2 Even localized vasculitis in the GI tract can be associated with significant morbidity and mortality. 5 Endoscopic findings such as erosions, petechiae, ulcers, submucosal hemorrhage, and strictures strengthen the suspicion for vasculitis.…”

Section: Discussionmentioning

confidence: 99%

“…Clinical manifestations include abdominal pain, diarrhea, fever, ileus, or GI bleeding, and complications can include intestinal ischemia or perforation. 2 Isolated GI tract vasculopathy has been reported, and patients may present with GI ischemia without other systemic findings. 3 Of these, isolated celiac artery vasculitis has been rarely reported in the literature.…”

Section: Introductionmentioning

confidence: 99%

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Isolated Celiac Artery Vasculitis Presenting as Ileus in a Patient With Ulcerative Colitis

Ali,

Doniparthi,

Asado

et al. 2024

ACG Case Rep J

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There is a known association between inflammatory bowel disease (IBD) and vasculitis, which can present with mesenteric ischemia or cutaneous manifestations. Infliximab, an anti-tumor necrosis factor (anti-TNF) used to treat IBD, has been implicated as a potential culprit. We present a unique case of a patient with ulcerative colitis who developed isolated celiac artery vasculitis presenting with abdominal pain and ileus after decreasing his dosage of azathioprine. Vasculitis resolved with steroids and increasing azathioprine dosage, while continuing anti-TNF therapy, suggesting that anti-TNF agents are not the only cause of vasculitis in patients with IBD or that thiopurines may be protective.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Isolated Celiac Artery Vasculitis Presenting as Ileus in a Patient With Ulcerative Colitis

Ali,

Doniparthi,

Asado

et al. 2024

ACG Case Rep J

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“…Noninfectious aortitis is a rare but clinically significant disease which appears to have a higher incidence in the second or third decade of life in individuals of Indian, Japanese, Southeast Asian, and South African descent. 2,3 Aortitis has been increasingly reported across the world resulting from a variety of etiologies further sub-classified into infectious and noninfectious sources. 1 Examples of non-infectious etiologies include giant cell arteritis (GCA), Takayasu arteritis, IGG4-related disease, idiopathic retroperitoneal fibrosis, spondyloarthropathies, reactive arthritis, rheumatoid arthritis, systemic lupus erythematosus, Behcet's disease, granulomatosis with polyangiitis, polyarteritis nodosa, sarcoidosis, and inflammatory aortic aneurysm.…”

Section: Discussionmentioning

confidence: 99%

Noninfectious aortitis: A case report

Jaikaran¹,

Nicoara²,

Hingorani³

2020

Vascular

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Introduction Noninfectious aortitis has been increasingly reported worldwide with a growing prevalence in western medicine. Attributed to our increasingly diverse population, western surgeons must be vigilant to promptly differentiate these cases from its more common infectious counterpart in order to ensure subsequent appropriate management of these patients. Methods We present a case report of a 71-year-old Indo-Caribbean male who presented with nonspecific abdominal and back pain, found to have aortitis of a noninfectious etiology. Results and conclusion: While our patient’s process was ultimately managed without surgical intervention, the varied clinical presentation along with the lack of specific laboratory markers pose a challenge for surgeons to appropriately diagnose and manage aortitis. Appropriate diagnostic imaging, the utilization of a multidisciplinary team, and close patient monitoring are key components for effective management of this increasingly prevalent disease process.

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