Artículos de revistas
Intestinal Ischemia As A Single Manifestation Of Thromboangiitis Obliterans: A Case Report
Registro en:
Angiology. , v. 56, n. 6, p. 789 - 792, 2005.
33197
2-s2.0-29044446638
Autor
De Paiva Magalhaes E.
Trevisan M.
Mochizuki M.
Sachetto Z.
Samara A.M.
Fernandes S.R.M.
Institución
Resumen
Thromboangiitis obliterans (TAO) is an inflammatory, nonocclusive, and nonatherosclerotic vascular disease. It commonly affects arteries, veins, and surrounding neural elements and is directly related to smoking. Although distal vessels of lower and upper extremities are the most commonly involved, other vessels such as intestinal arteries can be rarely affected. The authors describe a 41-year-old white male smoker who presented with abdominal pain for 3 months and developed an acute bowel ischemia. He underwent urgent surgery, and segmental enterectomy was performed. Histopathologic findings were suggestive of TAO, showing typical involvement of small-sized veins and arteries with intact internal elastic lamina, preserved media, a local nonspecific inflammatory reaction, with new and older arterial and venous thromboses associated. Although mesenteric arteries are seldom injured by TAO, this diagnosis must be considered when the usual causes of intestinal ischemia are ruled out. In this case, even without any other clinical symptoms of TAO, this rare diagnosis could be made. ©2005 Westminster Publications, Inc. 56 6 789 792 Hooten, M.H., Bruns, H.K., Hays, J.T., Inpatient treatment of severe nicotine dependence in a patient with thromboangiitis obliterans (Buerger's disease) (1998) Mayo Clin Proc, 73, pp. 529-532 Lie, J.T., Visceral intestinal Buerger's disease (1998) Int J Cardiol, 66, pp. 8249-8256 Harten, P., Müller-Huelsbeck, S., Regensburger, D., Multiple organ manifestations in thromboangiitis obliterans (Buerger's disease) (1996) Angiology, 47, pp. 419-425 Kempczinski, R.F., Clark, S.M., Blebea, J., Intestinal ischemia secondary to thromboangiitis obliterans (1993) Ann Vasc Surg, 7, pp. 354-358 Olin, J.W., Thromboangiitis obliterans (Buerger's disease) (2000) N Engl J Med, 343, pp. 864-869 Iwai, T., Buerger's disease with intestinal involvement (1998) Int J Cardiol, 66, pp. 8257-8263 Deitch, E.A., Sikkema, W.W., Intestinal manifestation of Buerger's disease: Case report and literature review (1981) Am Surg, 47, pp. 326-328 Rosen, N., Sommer, I., Knobel, B., Intestinal Buerger's disease (1985) Arch Pathol Lab Med, 109, pp. 962-963 Michail, P.O., Fills, K.A., Delladetsima, J.K., Thromboangiitis obliterans (Buerger's disease) in visceral vessels confirmed by angiographic and histological findings (1998) Eur J Vasc Endovasc Surg, 16, pp. 445-448 Garcia, A.N., Cubero, L.L., Zalba, L.R., Thromboangiitis obliterans (Buerger's disease) with intestinal involvement (1998) Angiology, 49, pp. 489-492 Buerger, L., Thrombo-angiitis obliterans: A study of the vascular lesions leading to presenile spontaneous gangrene (1908) Am J Med Sci, 136, pp. 567-580 Broide, E., Scapa, E., Peer, A., Buerger's disease presenting as acute small bowel ischemia (1993) Gastroenterology, 104, pp. 1192-1195 Sauvaget, F., Debray, M., Sigalony, J.P.H., Colonic ischemia reveals thromboangiitis obliterans (Buerger's disease) (1996) Gastroenterology, 110, pp. 900-903 Schellong, S.M., Bernhards, J., Ensslen, F., Intestinal type of thromboangiitis obliterans (Buerger's disease) (1994) J Int Med, 235, pp. 69-73 Krupski, W.C., Selzman, C.H., Whitehill, T.A., Unusual causes of mesenteric ischemia (1997) Surg Clin North Am, 77, pp. 471-503