Ischemic intestinal involvement in a patient with Buerger disease: case report and literature review.
A 42-year-old Japanese man who had undergone amputation of the left leg below the knee because of Buerger disease required emergency thrombectomy 7 months later. He complained of acute abdominal pain after thrombectomy. At aortography the distal superior mesenteric artery and its branches were not well visualized. Emergency laparotomy was performed because of suspected intestinal ischemia, and the terminal ileum and cecum and part of the ascending colon were resected. In total, the patient underwent laparotomy four times. Histopathologic findings revealed that the arteries and veins of the resected small intestine were occluded with organized thrombi. Inflammatory cell infiltration was recognized mainly in the intima. These findings are compatible with Buerger disease.
Kobayashi
Masayoshi
M
Division of Vascular Surgery, Department of Surgery, Nagoya Graduate School of Medicine, Nagoya, Japan. koba@med.nagoya-u.ac.jp
Kurose
Kimihiro
K
Kobata
Takashi
T
Hida
Kenji
K
Sakamoto
Shigeru
S
Matsubara
Junichi
J
D000328:Adult; D003082:Colectomy / Q000379:methods; D017809:Fatal Outcome; D006801:Humans; D007421:Intestine, Small / Q000098:blood supply* / Q000601:surgery; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008297:Male; D017538:Mesenteric Artery, Superior; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis / Q000209:etiology*; D017131:Thrombectomy; D013919:Thromboangiitis Obliterans / Q000150:complications* / Q000601:surgery; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology*