title: Multiple spontaneous small bowel perforations due to systemic cholesterol atheromatous embolism.
abstract: A-65-year-old man was admitted for coronary and peripheral angiography to evaluate angina pectoris and peripheral vascular disease. Following angiography, he suffered from blue toes, livedo reticularis and progressive renal failure. The patient's condition continued to deteriorate, including the development of malnutrition. Four months later he suddenly developed panperitonitis, went into shock and died. The autopsy verified multiple perforations of the small bowel with disseminated cholesterol atheromatous embolism. The other organs including kidney were also invaded by atheroembolism. This was a rare case of multiple spontaneous perforations of small bowel due to systemic cholesterol atheromatous embolism.
authors.affiliation: Second Department of Internal Medicine, Kansai Medical University, Moriguchi, Osaka.
authors.forename: A
authors.initials: A
authors.lastname: Fujiyama
authors.forename: Y
authors.initials: Y
authors.lastname: Mori
authors.forename: S
authors.initials: S
authors.lastname: Yamamoto
authors.forename: O
authors.initials: O
authors.lastname: Iba
authors.forename: H
authors.initials: H
authors.lastname: Kurihara
authors.forename: H
authors.initials: H
authors.lastname: Masaki
authors.forename: T
authors.initials: T
authors.lastname: Yonemoto
authors.forename: T
authors.initials: T
authors.lastname: Nagata
authors.forename: Y
authors.initials: Y
authors.lastname: Umeda
authors.forename: R
authors.initials: R
authors.lastname: Yasumizu
authors.forename: S
authors.initials: S
authors.lastname: Ikehara
authors.forename: M
authors.initials: M
authors.lastname: Inada
authors.forename: H
authors.initials: H
authors.lastname: Matsubara
authors.forename: T
authors.initials: T
authors.lastname: Iwasaka
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology; D000368:Aged; D000792:Angiography / Q000009:adverse effects; D018438:Blue Toe Syndrome / Q000150:complications; D017700:Embolism, Cholesterol / Q000150:complications* / Q000473:pathology; D017809:Fatal Outcome; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000473:pathology; D007579:Jejunal Diseases / Q000209:etiology* / Q000473:pathology; D008297:Male