[Intestinal XXXX as clinical presentation of @entity12040 ].

@entity19071 @entity390 @entity295 @entity63 @entity39 @entity1333 @entity229 @entity391 @entity12040 @entity613 @entity158 @entity490 @entity715 @entity298
A 32 years old female was admitted to hospital due to acute @entity490 , @entity390 , @entity391 and liquid stools. Physical examination was normal except for @entity158 on her left inferior abdominal quadrant without peritoneal irritation signs. An abdominal CAT-scan suggested @entity715 at celiac trunk, although the echo Doppler showed no alterations except for signs of @entity63 in the distal branch of the superior mesenteric artery. An exploratory laparotomy was performed disclosing a @entity39 of the distal ileum and cecum, diffuse @entity298 and @entity715 of the ileocecoapendiculocolic artery. No @entity1333 were found in the arteries of medium size examined. A history of @entity613 for the @entity19071 years as well as acrocyanosis, asymmetry of pulses and blood pressure in the superior extremities was ascertained after the surgery. A MRI angiogram showed multiple stenoses and irregularities at the celiac trunk, hepatic, superior mesenteric and fibular arteries. No abnormalities at the aortic arch and its main branches were documented. @entity295 due to Candida sp complicated her postoperative period. After recovery, @entity229 1 mg/kg/day was started and the anticoagulation continued. The @entity490 , @entity613 and superior limb acrocyanosis disappeared. This is an unusual case of type IV @entity12040 with acute abdominal signs as the first manifestation.
