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Intestinal Thromboangiitis Obliterans (Buerger’s Disease): a Case Report

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Abstract

Buerger’s disease is an unknown etiology, inflammatory vaso-occlusive, and non-arteriosclerotic vascular disease. It affects medium- or small-sized arteries and veins; uncommonly it involves in vesical vessels. A 43-year-old man, previously diagnosed with Buerger’s disease for 25 years, presented with acute abdomen. Urgent laparotomy was done, and a perforated jejunal ulcer and peritonitis were detected. The patient had to undergo recurrent laparotomy for mesenteric ischemia. A case of intestinal manifestation of the disease with superior mesenteric vessels occlusion represents unexpected manifestation of the disease. Early diagnosis is the key for true clinical management and good willing prognosis.

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Abbreviations

TAO:

Thromboangiitis obliterans

ER:

Emergency room

FAST:

Focused abdominal sonography for trauma

AST:

Aspartate transaminase

ALT:

Alanine transaminase

ALP:

Alkaline phosphatase

HCV:

Hepatitis C virus

HBV:

Hepatitis B virus

HIV:

Human immunodeficiency virus

ECG:

Electrocardiography

NPO:

Nil per os

IV:

Intravenous

DJ:

Duodenojejunal

TLC:

Total lymphocyte count

INR:

International normalized ratio

CRP:

C-reactive protein

ESR:

Erythrocyte sedimentation rate

ICU:

Intensive care unit

FFP:

Fresh frozen plasma

TPN:

Total parenteral nutrition

MRI:

Magnetic resonance imaging

ERCP:

Endoscopic retrograde cholangiopancreatography

References

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Author information

Authors and Affiliations

  1. Department of General Surgery, Mataria Teaching Hospital, Cairo, Egypt

    Ibrahim Radwan & Beshoi Bortam

  2. Department of Clinical Product Development, Institute of Tropical Medicine (NEKKEN), School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, 852-8523, Japan

    Nguyen Tien Huy

Authors
  1. Ibrahim Radwan
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  2. Beshoi Bortam
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  3. Nguyen Tien Huy
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Corresponding author

Correspondence to Ibrahim Radwan.

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Ethics Statement

The Institutional Review Board (IRB) of Mataria Teaching Hospital stated no ethical IRB approval was required, and a written informed consent for publication was obtained and signed by the patient after his second operation.

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The authors declare that they have no conflict of interest.

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Radwan, I., Bortam, B. & Huy, N.T. Intestinal Thromboangiitis Obliterans (Buerger’s Disease): a Case Report. Indian J Surg 82, 93–95 (2020). https://doi.org/10.1007/s12262-019-01919-y

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  • DOI: https://doi.org/10.1007/s12262-019-01919-y

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