Recurrent pericarditis in a patient with ulcerative proctitis due to mesalazine suppositories.

摘要

Pericarditis is rarely reported in inflammatory bowel disease (IBD). The most frequent presentation is as acute pericarditis. It can arise as a true extraintestinal IBD event or as a secondary effect due to drug employment. We present a case of a recurrent pericarditis related to ulcerative colitis (UC) and induced with suppositories of mesalazine. A 54-year-old male was seen as an outpatient with scarce bloody diarrhea during the past 6 months. Clinical history reported hypertension, colecystectomy with adeno-carcinoma in situ 7 years ago, upper gastrointestinal bleeding treated medically due to gastritis and a lupus-like reaction 20 years ago. Recently, diagnosed and treated with metformine due to diabetes type 2. The performance of a colonoscopy revealed a continuously inflamed mucosa up to the rectosigmoid junction and proven histology of UC without displastic lesions.