Gut mayhem at sea: Acute mesenteric ischaemia in a sailor unmasking polyarteritis nodosa.

Trop DoctMay 26, 2026 (epub)
Case ReportGastroenterologyRheumatology

Isaac Ks Ng, Mark Il Lum, Wilson Gw Goh et al.

✦ AI-curated · Sources linked

Case in brief

A sailor presented with acute abdominal pain due to acute mesenteric ischaemia, which was found to be the initial manifestation of polyarteritis nodosa. Characteristic radiological findings indicated medium-vessel vasculitis. Following treatment with high-dose intravenous corticosteroids and cyclophosphamide, the patient's symptoms improved, inflammatory markers normalized, and stable radiological findings were observed before discharge.

Diagnostic / clinical pearl

Acute mesenteric ischaemia can be an initial presentation of systemic vasculitis, such as polyarteritis nodosa, particularly in patients without significant cardiovascular risk factors.

Source

PubMed · PMID 42191642

Published in Trop Doct. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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