Ulceration and Perforation of the Intestine Due to Necrotizing Arteriolitis

Abstract

Although disseminated arteritis frequently causes gastrointestinal symptoms, it seldom presents an acute abdominal emergency.¹ It is uncommon for involvement of the gastrointestinal tract to be severe enough to dominate the clinical picture and to be the principal cause of death.² During the past three years 3 patients have been seen at the Pennsylvania Hospital with disseminated arteritis of varied etiology, which led to discrete intestinal ulceration, perforation, peritonitis and death.Case ReportsCase 1 (P.H. A53226). A 17-year-old girl was in good health until May, 1960, when a school examination detected hypertension (blood pressure of 160/110). In November she complained . . .