• J. Intern. Med. · Mar 2000

    Case Reports

    Could attacks of abdominal pain in cases of acute intermittent porphyria be due to intestinal angina?

    • F Lithner.
    • Department of Medicine, University Hospital, Umeå, Sweden. Folke.Lithner@medicin.umu.se
    • J. Intern. Med. 2000 Mar 1;247(3):407-9.

    AbstractAbdominal pain is by far the most serious symptom in attacks of acute intermittent porphyria. Its cause is unknown. This case study suggests visceral ischaemia as a possible cause of the abdominal pain. A 31-year-old woman with recurrent bouts died during an attack; the autopsy revealed a 20-cm necrotic gangrene in the ileum. A protracted intestinal vasospasm could have been the immediate cause of death. It is discussed whether intestinal angina could be the cause of the abdominal pain in acute intermittent porphyria.

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