[Jejunal perforation by cholesterol embolus: a case treated surgically].
A case of ischaemic jejunal perforation which could be attributed to mesenteric cholesterol emboli is reported. The jejunal pathology had been preceded by other, more classical sites of systemic cholesterol embolization that occurred immediately after arterial catheterization in this male patient with aneurysm of the abdominal aorta. Emergency segmental resection of the jejunum was performed with satisfactory immediate results. Histological examination of the operative specimen confirmed that the perforation was caused by cholesterol emboli. Cholesterol embolization of the intestine may have various clinical consequences which are reviewed by the authors.
Hôpital Saint-Michel, Paris.
B
B
Iung
P
P
Baudouy
V P
VP
Ngoc
B
B
Faucher
H
H
Borie
G
G
Longueville
M
M
Valleteau de Moulliac
D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000628:therapy*; D002404:Catheterization / Q000009:adverse effects*; D017128:Embolectomy; D017700:Embolism, Cholesterol / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D004630:Emergencies; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D007579:Jejunal Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged
Perforation jéjunale par embolie de cholestérol: à propos d'un cas traité chirurgicalement.