Abstract
Extraintestinal manifestations are well described in inflammatory bowel disease. A 63 year-old male was admitted to our clinic with the complaint of dyspnea and dry cough. Echocardiography revealed minimal pericardial effusion. He was prescribed ibuprofen 600 mg twice on a daily basis. Four days later, he was admitted to the hospital due to palpitations, chest pain and increased dyspnea. From the medical history results, it was clear that the patient had ulcerative colitis and did not have medical treatment for the last sixth months. He was treated with oral prednisolone and mesalamine. Within six days, his bowel symptoms as well as his cardiac symptoms improved for the better, and the patient was discharged in good condition on day six after his admission to hospital. Pericardial effusion was completely resolved. Ulcerative colitis, which may not be detected as an underlying cause, should be considered in pericardial effusion cases as differential diagnosis. Key words: Pericardial Effusion; Ulcerative Colitis; Corticosteroid Theraphy.
References
- Molnar T, Hogye M, Nagy F, Lonovics J. Pericarditis associated with inflammatory bowel disease: case report. Am J Gastroenterol1999;94:1099–100.
- Cappell MS, Turkieh A. Chronic pericarditis and pericardial tamponade associated with ulcerative colitis. Dig Dis Sci 2008;53:149-54.
- Virovic Jukic L, Duvnjak M, Barsic N, Lerotic I, Tomasic V, Pavic T. Pericarditis in exacerbation of ulcerative colitis. Acta Gastroenterol Belg 2006;69:390-92.
- Bansal D, Chahoud G, Ison K, Gupta E, Montgomery M, Garza L, Mehta JL. Pleuropericarditis and pericardial tamponade associated with inflammatory bowel disease. J Ark Med Soc 2005;102:16-9.
- Rellecke P, Strauer BE. Chronic inflammatory bowel disease and cardiovascular complications. Med Klin (Munich) 2006;101:56-60.
- Tunc B, Filik L, Ulker A, Parlak E. Two cases of pericarditis associated with inflammatory bowel disease. Acta Medica (Hradec Kralove) 2005;48:43-4.
- Dubowitz M, Gorard DA. Cardiomyopathy and pericardial tamponade in ulcerative colitis. Eur J Gastroenterol Hepatol 2001;13:1255-58.
- Pang JA. Acute pericarditis. An unusual presentation of an exacerbation of ulcerative colitis. Med J Aust 1985143:356.
- Sarrouj BJ, Zampino DJ, Cilursu AM. Pericarditis as the initial manifestation of inflammatory bowel disease. Chest 1994;106:1911-12.
- Sparano DM, Ward RP. Pericarditis and pericardial effusion: management update. Curr Treat Options Cardiovasc Med 2011;13:543-55.
- Meyer AM, Ramzan NN, Heigh RI, Leighton JA. Relapse of inflammatory bowel disease associated with use of nonsteroidal anti-inflammatory drugs. Dig Dis Sci 2006;51:168-72.
- Gupta R, Hennebry TA, Kinasewitz GT. Pleuropericardial effusion after 37 years of sulfasalazine therapy. J Cardiovasc Med 2012;13:541-43.
Abstract
İnflamatuar barsak hastalıklarında barsak dışı belirtiler iyi tanımlanmasına rağmen kardiyak tutulum nadiren bildirilmiştir. 63 yaşında erkek hasta nefes darlığı ve kuru öksürük şikayeti ile kardiyoloji polikliniğine başvurdu. Ekokardiyografide minimal perikardiyal effüzyon vardı. Günde iki kez 600 mg İbuprofen reçete edildi. Hasta çarpıntı, göğüs ağrısı ve nefes darlığında artma olması üzerine dört gün sonra hastaneye başvurdu. Kardiyoloji servisine yatırıldı. Tıbbi hikayesinde ülseratif kolit tanısı olduğu ve altı aydır tedavi almadığı belirlendi. Tekrar yapılan ekokardiyografide effüzyonun arttığı ve sağ atriyuma bası olduğu tespit edildi. Oral prednizolon ve mesalamin ile tedavi edildi. Altı gün içinde göğüs belirtilerine ilaveten barsak belirtileri düzeldi ve hastaneye başvurduktan altı gün sonra iyi durumda taburcu edildi. Bu sürede perikardiyal effüzyon tamamen gerilemişti. Nedeni tespit edilemeyen perikardiyal effüzyon vakalarında ayırıcı tanıda ülseratif kolit mutlaka düşünülmelidir. Anahtar kelimeler: Perikardiyal Effüzyon; Ülseratif Kolit; Kortikosteroid Tedavisi.
References
- Molnar T, Hogye M, Nagy F, Lonovics J. Pericarditis associated with inflammatory bowel disease: case report. Am J Gastroenterol1999;94:1099–100.
- Cappell MS, Turkieh A. Chronic pericarditis and pericardial tamponade associated with ulcerative colitis. Dig Dis Sci 2008;53:149-54.
- Virovic Jukic L, Duvnjak M, Barsic N, Lerotic I, Tomasic V, Pavic T. Pericarditis in exacerbation of ulcerative colitis. Acta Gastroenterol Belg 2006;69:390-92.
- Bansal D, Chahoud G, Ison K, Gupta E, Montgomery M, Garza L, Mehta JL. Pleuropericarditis and pericardial tamponade associated with inflammatory bowel disease. J Ark Med Soc 2005;102:16-9.
- Rellecke P, Strauer BE. Chronic inflammatory bowel disease and cardiovascular complications. Med Klin (Munich) 2006;101:56-60.
- Tunc B, Filik L, Ulker A, Parlak E. Two cases of pericarditis associated with inflammatory bowel disease. Acta Medica (Hradec Kralove) 2005;48:43-4.
- Dubowitz M, Gorard DA. Cardiomyopathy and pericardial tamponade in ulcerative colitis. Eur J Gastroenterol Hepatol 2001;13:1255-58.
- Pang JA. Acute pericarditis. An unusual presentation of an exacerbation of ulcerative colitis. Med J Aust 1985143:356.
- Sarrouj BJ, Zampino DJ, Cilursu AM. Pericarditis as the initial manifestation of inflammatory bowel disease. Chest 1994;106:1911-12.
- Sparano DM, Ward RP. Pericarditis and pericardial effusion: management update. Curr Treat Options Cardiovasc Med 2011;13:543-55.
- Meyer AM, Ramzan NN, Heigh RI, Leighton JA. Relapse of inflammatory bowel disease associated with use of nonsteroidal anti-inflammatory drugs. Dig Dis Sci 2006;51:168-72.
- Gupta R, Hennebry TA, Kinasewitz GT. Pleuropericardial effusion after 37 years of sulfasalazine therapy. J Cardiovasc Med 2012;13:541-43.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | April 1, 2014 |
| Published in Issue | Year 2014 Volume: 21 Issue: 2 |