Ballinger A, Farthing M J
Department of Gastroenterology, St Bartholomew's Hospital, London.
Gut. 1992 Oct;33(10):1427-9. doi: 10.1136/gut.33.10.1427.
Extracolonic manifestations of inflammatory bowel disease are common and diverse. Cardiac complications, however, are rare and of these pericarditis is the most frequently described association. A 57 year old man with a 20 year history of ulcerative colitis presented with a four day history of retrosternal chest pain and exertional dyspnoea. Electrocardiogram showed Wenckebach atrioventricular block. Three days later he developed bloody diarrhoea and sigmoidoscopy showed active proctocolitis. He was treated with oral prednisolone after which the chest pain and diarrhoea settled within 48 hours. At outpatient review two weeks later he was completely well and the electrocardiogram had returned to normal.
炎症性肠病的肠外表现常见且多样。然而，心脏并发症罕见，其中心包炎是最常被描述的关联病症。一名有20年溃疡性结肠炎病史的57岁男性，出现了4天的胸骨后胸痛和劳力性呼吸困难。心电图显示文氏房室传导阻滞。三天后，他出现了血性腹泻，乙状结肠镜检查显示为活动性直肠结肠炎。他接受了口服泼尼松龙治疗，之后胸痛和腹泻在48小时内缓解。两周后的门诊复查时，他已完全康复，心电图也恢复了正常。
