Ischemic intestinal involvement in a patient with Buerger disease: Case report and literature review

Masayoshi Kobayashi, Kimihiro Kurose, Takashi Kobata, Kenji Hida, Shigeru Sakamoto, Junichi Matsubara

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

A 42-year-old Japanese man who had undergone amputation of the left leg below the knee because of Buerger disease required emergency thrombectomy 7 months later. He complained of acute abdominal pain after thrombectomy. At aortography the distal superior mesenteric artery and its branches were not well visualized. Emergency laparotomy was performed because of suspected intestinal ischemia, and the terminal ileum and cecum and part of the ascending colon were resected. In total, the patient underwent laparotomy four times. Histopathologic findings revealed that the arteries and veins of the resected small intestine were occluded with organized thrombi. Inflammatory cell infiltration was recognized mainly in the intima. These findings are compatible with Buerger disease.

Original languageEnglish
Pages (from-to)170-174
Number of pages5
JournalJournal of Vascular Surgery
Volume38
Issue number1
DOIs
Publication statusPublished - 07-2003
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Cardiology and Cardiovascular Medicine

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