• Emerg Med Australas · Apr 2012

    Angiotensin-converting enzyme inhibitor and visceral angio-oedema.

    • Hun Sheng Chuah.
    • Department of General Medicine, Fremantle Hospital, Fremantle, WA 6959, Australia. hunsheng.chuah@health.wa.gov.au
    • Emerg Med Australas. 2012 Apr 1;24(2):207-8.

    AbstractAbdominal pain can be a challenging presenting complaint with a broad differential diagnosis. Medication side-effect must always be considered. Visceral angio-oedema secondary to angiotensin-converting enzyme inhibitor use can cause abdominal pain. The association of angiotensin-converting enzyme inhibitor and visceral angio-oedema is not well recognized partly because the onset of angio-oedema might be delayed for months or years after commencement of an angiotensin-converting enzyme inhibitor. The epidemiology of angio-oedema is now changing in parallel with the increasing use of angiotensin-converting enzyme inhibitors. We present a case of visceral angio-oedema secondary to perindopril. This diagnosis requires a high index of suspicion because if not recognized early patients undergo extensive and expensive negative evaluation.© 2012 The Authors. EMA © 2012 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

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