Type II Hereditary Angioedema Misdiagnosed with an Acute Abdomen: A Case Report Study

D. Haehn, M. Rivera-Valenzuela, A. Gonzalez-Estrada
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Abstract

Hereditary angioedema (HAE) is a rare autosomal dominant condition caused by an uncontrolled activation of the contact pathway leading to an excessive production of bradykinin, with subsequent episodes of self-limited, non-pruritic swelling of the skin, the gastrointestinal and airway mucosa, which can be life-threatening. Here, we present a case of type II HAE in a patient who presented to multiple institutions with severe abdominal crisis described as diffuse colicky abdominal pain associated with abdominal distention and was misdiagnosed with acute abdomen leading to multiple surgical procedures.
II型遗传性血管性水肿误诊为急腹症:一例报告研究
遗传性血管性水肿(HAE)是一种罕见的常染色体显性遗传病,由接触途径不受控制的激活导致缓激肽的过量产生,随后出现皮肤、胃肠道和气道粘膜的自限性、非瘙痒性肿胀,可危及生命。在这里,我们报告了一例II型HAE患者,该患者在多个机构就诊时表现为严重的腹部危象,描述为弥漫性绞痛腹痛伴腹胀,并被误诊为急腹症,导致多次手术。
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