Mesenteric vasculitis associated with Sézary syndrome.
A 71 year old lady with Sézary syndrome presented with chronic diarrhoea and cramping abdominal pains. A small bowel meal x ray examination showed two mid-ileal strictures. At laparotomy the small intestine was found to be sub-acutely obstructed and resection of a 15 cm ileal stricture and stricturoplasty of a second, 10 cm stricture were performed. Histological examination of the stricture revealed a mesenteric vasculitis with secondary ischaemic changes in the small bowel wall. Mesenteric vasculitis causing small bowel stricture may be associated with Sézary syndrome.
Ellis
R D
RD
Gastrointestinal Laboratory, Rayne Institute, St Thomas' Hospital, London.
Smith
C H
CH
Goodlad
J R
JR
Smith
N P
NP
Thompson
R P
RP
D000368:Aged; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology*; D007415:Intestinal Obstruction / Q000209:etiology*; D008642:Mesenteric Veins; D012751:Sezary Syndrome / Q000150:complications*; D014657:Vasculitis / Q000150:complications* / Q000175:diagnosis