Fatal polyarteritis nodosa with massive mesenteric necrosis in a child

Clin Rheumatol. 1999;18(1):88-90. doi: 10.1007/s100670050063.

Abstract

Polyarteritis nodosa (PAN) is a rare vasculitic syndrome in childhood. There are few reported cases of ischaemic necrosis of the intestine and even fewer survivors in adults. We report the case of a 10-year-old boy with PAN and an acute abdomen that required operative intervention. Evidence was found of mesenteric arteritis with large ischaemic segments resulting in infarction and perforation.

Publication types

  • Case Reports

MeSH terms

  • Abdomen, Acute / complications
  • Abdomen, Acute / diagnosis
  • Child
  • Fatal Outcome
  • Follow-Up Studies
  • Gastrointestinal Hemorrhage / complications
  • Gastrointestinal Hemorrhage / diagnosis
  • Heart Arrest / etiology*
  • Humans
  • Male
  • Mesentery / diagnostic imaging
  • Mesentery / pathology*
  • Necrosis
  • Peritoneal Diseases / complications*
  • Peritoneal Diseases / diagnosis
  • Polyarteritis Nodosa / complications*
  • Polyarteritis Nodosa / diagnosis
  • Radiography, Abdominal
  • Rupture, Spontaneous
  • Ultrasonography