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37 yo female ER, abd pain. Hx – nl white count, nl sed rate, htn treated with ACE inhibitor.

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Presentation on theme: "37 yo female ER, abd pain. Hx – nl white count, nl sed rate, htn treated with ACE inhibitor."— Presentation transcript:

1 37 yo female ER, abd pain

2 Hx – nl white count, nl sed rate, htn treated with ACE inhibitor

3 —Contrast-enhanced abdominopelvic 64-MDCT (Definition, Siemens Healthcare) of 22-year-old woman with acute-onset abdominal pain started on angiotensin-converting enzyme inhibitor 1 day before presentation. Vallurupalli K, Coakley K J AJR 2011;196:W405-W411 ©2011 by American Roentgen Ray Society

4 —Contrast-enhanced abdominopelvic 64-MDCT (Definition, Siemens Healthcare) of 40-year-old woman with recurrent episodes of abdominal pain on angiotensin-converting enzyme (ACE) inhibitor for unknown period of time. Vallurupalli K, Coakley K J AJR 2011;196:W405-W411 ©2011 by American Roentgen Ray Society

5 ACE inhibitor induces small bowel angioedema ACEI-induced small-bowel angioedema should be included in the differential diagnosis when patients receiving ACEI therapy present with abdominal complaints and the following combination of findings on CT examination: ascites, small-bowel wall thickening, dilatation without obstruction, and straightening. AJR August 2011 vol. 197 no. 2 393-398 AJR April 2011 vol. 196 no. 4 W405-W411


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