[Thrombosis in the small branches of the superior mesenteric artery in the early stages of essential thrombocythemia].
A tumour in the large bowel in a 67-year-old female patient was observed for the first time in 1991, and that is why a hemicolectomy was performed. Microscopic examination showed mucosal ulceration with chronic inflammation, but no malignancy was found. Small arteries in the bowel wall were occluded by organized and recanalized trombi. The pathologist thought it could be a rare visceral form of Buerger's disease. Two and a half years later essential thrombocythemia was diagnosed in the patient. On investigating her case-history the authors found that the myeloproliferative disease had already been in its early clinical stage in 1991. So the thrombotic events of the small arteries can be considered as the first sign of essential thrombocythemia. The authors concluded the observation of unusual and unexplained thrombotic events may suggest myeleproliferative disorders, even if their diagnostical criteria are not yet well manifested.
Adorján
T
T
Városi Kórház, Kisvárda, II. Belgyógyászati Osztály.
Czeglédi
Z
Z
Szikora
L
L
Nagy
P
P
Jakó
J
J
D000368:Aged; D003093:Colitis, Ulcerative / Q000175:diagnosis*; D003110:Colonic Neoplasms / Q000175:diagnosis; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D017538:Mesenteric Artery, Superior; D009196:Myeloproliferative Disorders / Q000175:diagnosis*; D013919:Thromboangiitis Obliterans / Q000175:diagnosis*; D013920:Thrombocythemia, Essential / Q000150:complications / Q000175:diagnosis*; D013927:Thrombosis / Q000150:complications* / Q000175:diagnosis
Az arteria mesenterica superior kis ágainak thrombosisa essentialis thrombocythaemia korai stádiumában.