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A Journal on Surgery

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Chirurgia 1999 December;12(6):441-4

language: English

Perforation of the cecum: a rare complication of rheumatoid arthritis. Report of a case and review of the literature

Benfatto G. P., Benfatto S. A. M., Borina E. M. L., Giovinetto A.

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It is common knowledge that Rheumatoid Arthritis (RA) is a systemic illness, which can cause extra-articular clinical manifestations. The case of a 48-year old woman suffering for twenty years from RA, admitted for acute abdomen syndrome due to a perforation of the cecum is presented. A right hemicolectomy was performed. Histology revealed a thrombotic panarteritis in the cecum. A review of the literature showed that only ultrastructural lesions of the bowel have been detected in patients suffering from RA. From this case it is possible to draw new etiopathogenetic observations of RA, of considerable multi-disciplinary value.

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