We describe patients with isolated small-bowel angioedema caused by allergic reactions to intravenous contrast media. Computed tomography (CT) revealed circumferential thickening of the walls of the duodenum or jejunum. Follow-up small-bowel follow-through, small-bowel endoscopy, and CT showed normalized small-bowel loops. Transient findings of circumferential thickening of the small-bowel walls on CT suggest isolated small-bowel angioedema.
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http://dx.doi.org/10.1097/RCT.0b013e318224247e | DOI Listing |
GE Port J Gastroenterol
August 2024
Allergy and Clinical Immunology Department, Centro Hospitalar Universitário do Porto, Porto, Portugal.
Cureus
May 2024
Hematology and Medical Oncology, Capital Health Regional Medical Center, Trenton, USA.
Carcinoid syndrome is a rare condition resulting from neuroendocrine tumors (NETs) that secrete vasoactive substances like serotonin. This report describes the case of a 61-year-old man with a history of chronic obstructive pulmonary disease (COPD) and hypertension who presented with new-onset angioedema, loss of consciousness, and a fall. He had been treated for COPD exacerbations during ER visits without improvement and was unaware of a prior mesenteric carcinoid tumor diagnosis from 2012.
View Article and Find Full Text PDFJ Gastroenterol Hepatol
October 2024
Department of Gastroenterology, Huazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, China.
Cureus
October 2023
Internal Medicine, King Edward Medical University (KEMU), Lahore, PAK.
Angioedema is a rare but known side effect of angiotensin-converting enzyme (ACE) inhibitor therapy. The most common presentations of ACE inhibitor-induced angioedema describe swellings in the oropharyngeal and periorbital regions. We describe a rare case of a 58-year-old female with a history of type 2 diabetes and hypertension taking lisinopril for the past three years and presented with recurrent episodes of abdominal pain, nausea, and vomiting around the same time she started taking the drug.
View Article and Find Full Text PDFJ Am Board Fam Med
February 2023
From Department of Family Medicine, St. Luke's Hospital - Sacred Heart Campus (AN, MSC, PFR, MP).
Background: Angioedema of the tongue, oral mucosa, and pharynx is a highly visible and easily diagnoseable side effect of Angiotensin-converting enzyme inhibitors (ACEI). Angioedema of the small bowel is a rarer, and underrecognized, adverse event that may present as a diagnostic challenge due to its nonspecific symptoms and lack of visibility, and because of a general lack of awareness of it among physicians. Failure to consider ACEI-induced angioedema of the small bowel in differential diagnoses may result in unnecessary interventions and delay of treatment.
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