Isolated celiac artery vasculitis presenting as ileus in a patient with ulcerative colitis

Authors

Sareena Ali, Advocate Health - MidwestFollow
Meghana Doniparthi, Advocate Health - MidwestFollow
Nahren Asado, Advocate Health - MidwestFollow
Kristina Borgen, Advocate Health - MidwestFollow
Alan Shapiro, Advocate Health - MidwestFollow

Recommended Citation

Ali S, Doniparthi M, Asado N, Borgen K, Shapiro A. Isolated Celiac Artery Vasculitis Presenting as Ileus in a Patient With Ulcerative Colitis. ACG Case Rep J. 2024;11(4):e01335. Published 2024 Apr 18. doi:10.14309/crj.0000000000001335

Affiliations

Advocate Lutheran General Hospital

Abstract

There is a known association between inflammatory bowel disease (IBD) and vasculitis, which can present with mesenteric ischemia or cutaneous manifestations. Infliximab, an anti-tumor necrosis factor (anti-TNF) used to treat IBD, has been implicated as a potential culprit. We present a unique case of a patient with ulcerative colitis who developed isolated celiac artery vasculitis presenting with abdominal pain and ileus after decreasing his dosage of azathioprine. Vasculitis resolved with steroids and increasing azathioprine dosage, while continuing anti-TNF therapy, suggesting that anti-TNF agents are not the only cause of vasculitis in patients with IBD or that thiopurines may be protective.

Type

Article

PubMed ID

38638204