1.
J Coll Physicians Surg Pak
; 31(10): 1259-1260, 2021 Oct.
Artigo
em Inglês
| MEDLINE
| ID: mdl-34601860
2.
BMJ Case Rep
; 14(1)2021 Jan 28.
Artigo
em Inglês
| MEDLINE
| ID: mdl-33509869
RESUMO
Granulomatosis with polyangiitis (GPA) is characterised by systemic necrotising vasculitis of small arteries and veins with multitude of organ involvement, with the most common being the upper and lower respiratory tract and renal system. Gastrointestinal involvement is a rare late manifestation with a high mortality rate and usually results in intestinal perforation. Our patient presented with gastrointestinal bleeding secondary to jejunal artery vasculitis. Gastrointestinal bleeding as initial presentation of GPA is very rarely documented. CT mesenteric angiogram is helpful for the localisation of bleed in these cases. In case of refractory bleeding, surgical excision is required.