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Angiotensin Converting Enzyme (ACE) Inhibitor Associated Small Bowel Angioedema and Ascites Presenting as Recurrent Acute Abdomen: A Case Report
Pardeep Mittal*, Abhishek Agarwal, Frank Miller, William Small, Peter Harri and Courtney C Moreno
Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA, 30322, USA
- *Corresponding Author:
- Pardeep Mittal, MD
Director MRI Body Imaging, Department of Radiology and Imaging Sciences
Emory University School of Medicine, Atlanta, GA, 30322, USA
Tel: 404 723 8531
Fax: 4047783800
E-mail: pmittal@emory.edu
Received date: July 9, 2016; Accepted date: August 12, 2016; Published date: August 19, 2016
Citation: Mittal P, Agarwal A, Miller F, Small W, Harri P, et al. (2016) Angiotensin Converting Enzyme (ACE) Inhibitor Associated Small Bowel Angioedema and Ascites Presenting as Recurrent Acute Abdomen: A Case Report. J Gastrointest Dig Syst 6:464. doi: 10.4172/2161-069X.1000464
Copyright: © 2016 Mittal P, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License; which permits unrestricted use; distribution; and reproduction in any medium; provided the original author and source are credited.
Abstract
We describe a case of a patient who presented with recurrent abdominal pain due to small bowel angioedema believed to be caused by a recently started ACE inhibitor with classic imaging features. Very few cases of visceral angioedema due to ACE inhibitor use are described in the literature. This case demonstrates a unique direct causal association between the onset of drug administration and symptomatic bowel angioedema as well as ascites, spontaneous resolution on stopping ACE inhibitor, and recurrence of acute clinical symptoms and imaging features on resumption of the drug.
