Ischemic Duodenitis

Ischemic duodenitis without involvement of the large abdominal arteries.

weight loss and diffuse abdominal pain that was worse after meals. She had a his− tory of diabetes, hypertension, chronic re− nal insufficiency and chronic lymphatic leukemia. Palpation of the right lower ab− dominal quadrant was painful. Labora− tory investigations, abdominal ultra− sound, and a barium enema of the colon revealed no relevant abnormalities. At gastroduodenoscopy an atypical are...

Henoch-Schönlein Purpura with Concurrent Cytomegalovirus Duodenitis

Henoch-Schönlein purpura (HSP) is a systemic vasculitis involving the small vessels with distinct clinical features. The etiology of HSP is diverse, and viral infection is one of the many predisposing factors. Cytomegalovirus (CMV) infection mostly affects immune-suppressed patients, but rarely patients with normal immunity can also be affected. Authors experienced a case of HSP patient, with u...

'Chronic duodenitis': a clinical pathological entity?

Cytomegalovirus as an Insidious Pathogen Causing Duodenitis.

A 60-year-old woman with rheumatoid arthritis treated with methotrexate for a decade complained of slight epigastric discomfort. A positive cytomegalovirus (CMV) antigenemia test indicated the probability of CMV-related gastrointestinal infection, for which esophagogastroduodenoscopy was performed. Endoscopic findings showed a non-specific duodenal mucosal lesion;however, pathological investiga...

Adult-Onset Henoch-Schonlein Purpura Duodenitis

Henoch-Schonlein purpura (HSP) is an immune-mediated vasculitis. HSP presents with purple spots on the skin (purpura), arthralgia, digestive problems, and kidney injury. HSP is most commonly seen in children, and rarely presents in adults. The pathogenesis involves the deposition of immune complexes in small to medium size blood vessels which leads to necrosis and inflammation. Most patients re...