[Buerger's disease with intestinal ischemic involvement].
Buerger's disease is uncommon arterial disease that affects mainly young people with heavy smoking history. Ischemic symptoms of upper and lower extremities are clearly defined as the most common kind of presentation. Visceral arteries are rarely affected. We report a case of a 44 year old young female with Buerger's disease and mesenteric ischemic involvement, and a revision of the literature about Buerger's disease with visceral affection. Due to the extreme rarity of the intestinal involvement of Buerger's disease, the early diagnosis is difficult, for this reason all patients affected by Buerger's disease who present intestinal symptoms should be carefully evaluated. Aortography and early laparoscopic revision are very important to limit ischemic intestinal injury and later complications. If hemodynamic instability is present emergency laparotomy at the operating theatre is recommended.
Servicio de Angiología y Cirugía Vascular, Hospital Universitario Son Dureta, Palma de Mallorca, Spain. Corgual@yahoo.es
J
J
Cordobès Gual
R
R
Riera Vázquez
O
O
Merino Mairal
E
E
Manuel-Rimbau Muñoz
P
P
Lozano Vilardell
M
M
Company Campins
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D001132:Arm / Q000098:blood supply; D002445:Celiac Artery / Q000000981:diagnostic imaging; D017091:Colitis, Ischemic / Q000209:etiology; D003937:Diagnosis, Differential; D003967:Diarrhea / Q000209:etiology; D005260:Female; D005759:Gastroenteritis / Q000175:diagnosis; D006801:Humans; D007422:Intestines / Q000098:blood supply* / Q000601:surgery; D007511:Ischemia / Q000209:etiology* / Q000601:surgery; D010535:Laparoscopy; D007866:Leg / Q000098:blood supply; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D011928:Raynaud Disease / Q000209:etiology; D012907:Smoking / Q000009:adverse effects; D013562:Sympathectomy; D020775:Thoracic Surgery, Video-Assisted; D013919:Thromboangiitis Obliterans / Q000150:complications* / Q000175:diagnosis