Rare case of bypass arthritis in a patient with short bowel syndrome A.A


Abbasali Mehrabian 1 , * , Shahdokht Samangooei 1

1 Department of Internal Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

How to Cite: Mehrabian A, Samangooei S. Rare case of bypass arthritis in a patient with short bowel syndrome A.A, Hormozgan Med J. 2004 ; 8(3):e90725.


Hormozgan Medical Journal: 8 (3); e90725
Published Online: August 02, 2004
Article Type: Case Report
Received: March 05, 2004
Accepted: August 02, 2004


Introduction: Intestinal bypass as a method for reducing weight in morbid
obesity has known side effects (short and long term), including arthritis that seem
to be due to bacterial overgrowth in blind loop of intestine or colonization of
bacteria. Although arthritis is common in blind loop syndrome, it has never been
reported in massive intestinal resection and jejune-terminalileostomy patients with
blind loop.
Case report: Our case is a 21 year old female that referred to us for evaluation
of arthritis. This complaint started 4 years age after multiple abdominal surgery
and intestinal resection that had been done due to appendicitis, adhesive band and
Conclusion: Clinical and para-clinical evaluation for this complaint had been
done during the past 6-7 years. All other etiologic factors were evaluated and
ruled out.
Her sign and symptom was unresponsive to prednisolon (10-15mg) and aspirin
(1500-2000mg). At the last hospital admission prednisolon and aspirin were
discontinued and sulfasalazine (1500 mg) started. After 10 days her arthritis sign
and symptom resolved.



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