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Canadian Journal of Gastroenterology
Volume 12, Issue 3, Pages 219-222
http://dx.doi.org/10.1155/1998/232604
Brief Communication

Churg-Strauss Syndrome Leading to Small Bowel Infarction: An Unusual Case of Abdominal Pain in a Young Patient

Sunil Sookram,1 Camille Hancock-Friesen,1 JP Ferguson,2 Terry Sosnowski,1 and Laurie JM Russell1

1Division of Emergency Medicine and Department of General Surgery, University of Alberta, Canada
2Royal Alexandra Hospital, Edmonton, Alberta, Canada

Received 7 November 1997; Accepted 26 February 1998

Copyright © 1998 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 33-year-old man with a history of severe asthma presented to the emergency department with a week-long history of severe unrelenting abdominal pain, nausea and decreased appetite. He was admitted to hospital, and routine gastrointestinal investigations were performed, which did not elucidate the cause of his abdominal pain. Exploratory laparotomy demonstrated patchy infarction of the entire small bowel, characteristic of Churg-Strauss syndrome. The patient subsequently underwent 12 separate laparotomies to salvage surviving small bowel. The patient is maintained on total parenteral nutrition.