TY - JOUR
T1 - Ischemic intestinal involvement in a patient with Buerger disease
T2 - Case report and literature review
AU - Kobayashi, Masayoshi
AU - Kurose, Kimihiro
AU - Kobata, Takashi
AU - Hida, Kenji
AU - Sakamoto, Shigeru
AU - Matsubara, Junichi
PY - 2003/7
Y1 - 2003/7
N2 - 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.
AB - 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.
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U2 - 10.1016/S0741-5214(02)75469-4
DO - 10.1016/S0741-5214(02)75469-4
M3 - Article
C2 - 12844107
AN - SCOPUS:0038108834
SN - 0741-5214
VL - 38
SP - 170
EP - 174
JO - Journal of Vascular Surgery
JF - Journal of Vascular Surgery
IS - 1
ER -