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Sonographic findings in abdominal hereditary angioedema

✍ Scribed by Sofia, Soccorsa; Casali, Anna; Bolondi, Luigi

Publisher: John Wiley and Sons
Year: 1999
Tongue: English
Weight: 206 KB
Volume: 27
Category: Article
ISSN: 0091-2751
DOI: 10.1002/(sici)1097-0096(199911/12)27:9<537::aid-jcu9>3.0.co;2-l

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✦ Synopsis

Patients with hereditary angioedema (HAE) may suffer from abdominal pain severe enough to prompt unnecessary surgical intervention. The diagnostic approach to abdominal pain during HAE attacks is not established. We describe abdominal sonographic findings during severe colic in 2 patients with known HAE. Sonography demonstrated marked mucosal thickening and edema of the bowel wall with a variable amount of free peritoneal fluid. These findings are not specific but are consistent with the hypothesized mechanism of attack and resolve after therapy. Abdominal sonography is useful for evaluating acute abdominal pain in patients with known HAE to prevent unnecessary surgery. Conversely, if the described sonographic findings appear in a case of abdominal colic of unknown origin, HAE should be included in the differential diagnosis.

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