title: Mesenteric involvement of acute-stage Buerger's disease as the initial clinical manifestation: report of a case.
abstract: Buerger's disease is almost always a disease of the blood vessels in the extremities. Conversely, mesenteric involvement of Buerger's disease is rare, and no true series have been reported. We report the case of a 37-year-old man with clinical symptoms of upper extremity Buerger's disease, who underwent surgery for extensive small bowel infarction. Histopathologic findings revealed that the mesenteric arteries were swollen and infiltrated with neutrophils, but not associated with fibrinoid necrosis. The lumen was occluded by a highly cellular thrombus with the appearance of a microabscess. These findings were compatible with acute-stage mesenteric Buerger's disease and postoperative studies revealed multiple occluded segments in the small and medium-sized arteries of both legs and the left arm, suggestive of Buerger's disease in the extremities.
authors.affiliation: Department of Surgery, University of Ulsan College of Medicine, Gangneung Asan Hospital, 415 Bangdong-ri, Gangneung, Gangwon, 210-711, Korea.
authors.forename: Yong Pil
authors.initials: YP
authors.lastname: Cho
authors.forename: Gil Hyun
authors.initials: GH
authors.lastname: Kang
authors.forename: Myoung Sik
authors.initials: MS
authors.lastname: Han
authors.forename: Hyuk Jai
authors.initials: HJ
authors.lastname: Jang
authors.forename: Yong Ho
authors.initials: YH
authors.lastname: Kim
authors.forename: Tae-Won
authors.initials: TW
authors.lastname: Kwon
authors.forename: Sung Gyu
authors.initials: SG
authors.lastname: Lee
mesh_terms: D000208:Acute Disease; D000328:Adult; D001132:Arm / Q000098:blood supply; D004108:Dilatation, Pathologic; D006801:Humans; D007238:Infarction / Q000473:pathology / Q000601:surgery; D007421:Intestine, Small / Q000098:blood supply / Q000473:pathology; D007866:Leg / Q000098:blood supply; D008297:Male; D008638:Mesenteric Arteries / Q000473:pathology; D012907:Smoking / Q000453:epidemiology; D013919:Thromboangiitis Obliterans / Q000175:diagnosis* / Q000453:epidemiology / Q000473:pathology