Abstract
Digestive manifestations are apparent in 7% to 36% of the vasculitis. The gastrointestinal tract (GIT) involvement is uncommon and often nonspecific. Any part of the GIT may be involved but the small intestine is the most frequently affected. Digestive endoscopic explorations are often informative, but can be dangerous because of the risk of perforations. Imaging is useful to detect a discontinuous thickened bowel wall, to identify abdominal complications. The involvement of the other intra-abdominal organs is not frequent. The pelvic and the abdominal wall involvement has also been exceptionally reported.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Ahn E, Luk A, Chetty R, Butany J (2009) Vasculitides of the gastrointestinal tract. Semin Diag Pathol 26:77–88
Byun JY, Ha HK, Yu SY et al (1999) CT features of systemic lupus erythematosus in patients with acute abdominal pain: emphasis on ischemic bowel disease. Radiology 211:203–209
Cacoub P, Musset L, Piette JC (1998) Cryoglobulinémies. EMC (Elsevier Masson SAS, Paris), Akos Encyclopédie Pratique de Médecine, 5-0455
Chakravarty K (1997) Vasculitis by organ systems. Baillieres Clin Rheum 2:357–393
Fishman D, Isenberg DA (1997) Splenic involvement in rheumatic diseases. Semin Arthritis Rheum 27:141–155
Ha HK, Lee SH, Rha SE et al (2000) Radiologic features of vasculitis involving the gastrointestinal tract. Radiographics 20:779–794
Hagspiel KD, Angle JF, Spinosa DJ, Matsumoto AH (1999) Necrotizing vasculitis with involvement of hepatic and superior mesenteric arteries. Radiology 212:359–364
Jayne D (2009) The diagnosis of vasculitis. Best Pract Res Clin Rheum 23:445–453
Khasnis A, Langford CA (2009) Update on vasculitis. J Allergy Clin Immunol 123:1226–1236
Marroun I, Delèvaux I, André M et al (2006) Les atteintes pancréatiques au cours de la granulomatose de Wegener : une localisation rare et un diagnostic difficile. Rev Med Interne 27:144–147
Martin-Blondel G, Alric L (2009) Atteinte hépatique dans les maladies de système. EMC (Elsevier Masson SAS, Paris), Hépatologie, 7-015-A-55
Morgan MD, Savage COS (2005) Vasculitis in the gastrointestinal tract. Best Pract Res Clin Gastroenterol 19:215–233
Nahon S, Bouhnik Y (2004) Vascularites, collagénoses et tube digestif. EMC (Elsevier Masson SAS, Paris), 9-089-C-10
Pagnoux C, Guillevin L (2006) Manifestations digestives des vascularites systémiques. Rev Med Interne 27:S56–S58
Pipitone N, Versari A, Salvarani C (2008) Role of imaging studies in the diagnosis and follow-up of large-vessel vasculitis: an update. Rheumatology (Oxford) 47:403–408
Rha SE, Ha HK, Lee SH et al (2000) CT and MR Imaging findings of bowel ischemia from various primary causes. Radiographics 20:29–42
Roemer FW, Demharter J, Zentner J, Buecklein W (2006) Unusual manifestation of small-vessel vasculitis. AJR Am J Roentgenol 186:586–587
Rybojad M, Brudy L (2001) Maladie de Kawasaki. EMC (Elsevier Masson SAS, Paris), Dermatologie, 98-515-A-10
Wechsler B, Du-Boutin LTH, Amoura Z (2009) Maladie de Behçet. EMC (Elsevier Masson SAS, Paris), Appareil locomoteur, 14-206-B-10
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Bouhaouala, M.H., Ghorbel, D., Doggui, M.H., Hendaoui, L. (2011). Digestive System Vasculitis. In: Hendaoui, L., Stanson, A., Bouhaouala, M., Joffre, F. (eds) Systemic Vasculitis. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2011_243
Download citation
DOI: https://doi.org/10.1007/174_2011_243
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-02483-2
Online ISBN: 978-3-642-02484-9
eBook Packages: MedicineMedicine (R0)