[Hemorrhagic necrosis of the mesenteric lymph nodes in adult celiac disease. Physiopathologic interpretation of 1 case].
The authors report the case of a 35 year old woman dead of cachexia in the course of a refractory adult coeliac disease. The autopsy revealed multiple lymphadenopathies exclusively found in the small intestinal mesentery; all these lymph nodes were destroyed by an extensive haemorrhagic necrosis. There was neither lymphoma nor cavitation. These original findings are interpreted as the consequence of a localized intravascular coagulation, and probably a step towards cavitation or atrophy.
Le Quellec
A
A
Service de Médecine Interne A, Hôpital St Eloi, Montpellier.
Ciurana
A J
AJ
Greth
I
I
Eliaou
J F
JF
Pages
A
A
D000328:Adult; D002446:Celiac Disease / Q000150:complications / Q000473:pathology*; D005260:Female; D006470:Hemorrhage / Q000150:complications / Q000473:pathology*; D006801:Humans; D007421:Intestine, Small / Q000473:pathology; D008198:Lymph Nodes / Q000473:pathology*; D008643:Mesentery; D009336:Necrosis
Nécrose hémorragique des ganglions mésentériques dans la maladie coeliaque de l'adulte. Interprétation physiopathologique à propos d'un cas.