Skip to main content
Book cover

Mesenteric Vascular Disease pp 123–144Cite as

Non-atherosclerotic Causes of Mesenteric Arterial Disease

  • 1524 Accesses

Abstract

The most common cause of occlusive mesenteric artery disease is ostial atherosclerosis. Non-atherosclerotic causes account for 5–10 % of all cases of chronic mesenteric ischemia (CMI). The vasculitides consist in a varied group of conditions characterized by an inflammatory response of vessel wall, with or without associated necrosis and granulomas, affecting 20 individuals per million a year. These diseases have different etiologies and pathogenic mechanisms, albeit most of them are not completely understood. Chronic inflammation can weaken the media and thin the arterial wall leading to aneurysm, or it can cause thickening of the arterial wall, resulting in stenosis and occlusions.

Keywords

  • Non-atherosclerotic mesenteric arterial disease
  • Mesenteric arterial disease
  • Ostial atherosclerosis
  • Chronic mesenteric ischemia
  • Occlusive mesenteric artery disease

This is a preview of subscription content, access via your institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-1-4939-1847-8_10
  • Chapter length: 22 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
eBook
USD   109.00
Price excludes VAT (USA)
  • ISBN: 978-1-4939-1847-8
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book
USD   139.99
Price excludes VAT (USA)
Hardcover Book
USD   179.99
Price excludes VAT (USA)
Learn about institutional subscriptions
Fig. 10.1
Fig. 10.2
Fig. 10.3
Fig. 10.4
Fig. 10.5
Fig. 10.6

References

  1. Rits Y, Oderich GS, Bower TC, Miller DV, Cooper L, Ricotta 2nd JJ, Kalra M, Gloviczki P. Interventions for mesenteric vasculitis. J Vasc Surg. 2010;51:392–400. e392.

    CrossRef  PubMed  Google Scholar 

  2. Ragab G. Vasculitic manifestations in the gastrointestinal tract. In: Ball GV, Bridges Jr SL, editors. Vasculitis. New York: New York Oxford University Press; 2008. p. 181–98.

    Google Scholar 

  3. Pagnoux C, Mahr A, Cohen P, Guillevin L. Presentation and outcome of gastrointestinal involvement in systemic necrotizing vasculitides: analysis of 62 patients with polyarteritis nodosa, microscopic polyangiitis, wegener granulomatosis, churg-strauss syndrome, or rheumatoid arthritis-associated vasculitis. Medicine. 2005;84:13.

    CrossRef  Google Scholar 

  4. Ahn E, Luk A, Chetty R, Butany J. Vasculitides of the gastrointestinal tract. Semin Diagn Pathol. 2009;26:115–28.

    CrossRef  Google Scholar 

  5. Hunder C, Arend W, Bloch D. al. e. The american college of rheumatology 1990 criteria for the classification of vasculitis. Arthritis Rheum. 1990;33:1065–7.

    CrossRef  CAS  PubMed  Google Scholar 

  6. Jennette J, Falk R, Andrassy K, Bacon P, Churg J, Gross W, Hagen E, Hoffman G, Hunder G, Kallenberg C. Nomenclature of systemic vasculitides. Proposal of an international consensus conference. Arthritis Rheum. 1994;37:187–92.

    CrossRef  CAS  PubMed  Google Scholar 

  7. Watts R, Scott D. Vasculitis mimics. In: Watts RA, Scott DG, editors. Vasculitis in clinical practice. London: Springer; 2010. p. 143–54.

    CrossRef  Google Scholar 

  8. Ha H, Lee S, Rha S, Kim J, Byun J, Lim H, Chung J, Kim J, Kim P, Lee M, Auh Y. Radiologic features of vasculitis involving the gastrointestinal tract. Radiographics. 2000;20:15.

    CrossRef  Google Scholar 

  9. Casella G, Bonzino B, Cutrino L, et al. Vasculitis and gastrointestinal involvement. Minerva Gastroenterol Dietol. 2006;52:137–214.

    Google Scholar 

  10. Hassoun Z, Lacrosse M, Ronde T. Intestinal involvement in buerger’s disease. J Clin Gastroenterol. 2001;31:85–9.

    CrossRef  Google Scholar 

  11. Sujobert P, Fardet L, Marie I, Duhaut P, Cohen P, Grange C, Gaultier JB, Arrive L, Cabane J. Mesenteric ischemia in giant cell arteritis: 6 cases and a systematic review. J Rheumatol. 2007;34:1727–32.

    PubMed  Google Scholar 

  12. Tian XP, Zhang X. Gastrointestinal involvement in systemic lupus erythematosus: insight into pathogenesis, diagnosis and treatment. World J Gastroenterol. 2010;16:2971–7.

    CrossRef  CAS  PubMed Central  PubMed  Google Scholar 

  13. Krupski W, Selzman C, Whitehill T. Unusual causes of mesenteric ischemia. Surg Clin North Am. 1997;77:471–502.

    CrossRef  CAS  PubMed  Google Scholar 

  14. Ryer E, Oderich G, Bower T, Macedo T, Vrtiska T, Duncan A, Kalra M, Gloviczki P. Differences in anatomy and outcomes in patients treated with open mesenteric revascularization before and after the endovascular era. J Vasc Surg. 2011;53:1611–8.

    CrossRef  PubMed  Google Scholar 

  15. Siğirci A, Senol M, Aydin E, Kutlu R, Alkan A, Altinok M, Yoloğlu S, Baysal T, Saraç K. Doppler waveforms and blood flow parameters of the superior and inferior mesenteric arteries in patients having behçet disease with and without gastrointestinal symptoms: preliminary data. J Ultrasound Med. 2003;22:449–57.

    PubMed  Google Scholar 

  16. Ripollés T, Simó L, Martínez-Pérez M, Pastor M, Igual A, López A. Sonographic findings in ischemic colitis in 58 patients. Am J Roentgenol. 2005;184:777–85.

    CrossRef  Google Scholar 

  17. Hokama A, Kishimoto K, Ihama Y, Kobashigawa C, Nakamoto M, Hirata T, Kinjo N, Higa F, Tateyama M, Kinjo F, Iseki K, Kato S, Fujita J. Endoscopic and radiographic features of gastrointestinal involvement in vasculitis. World J Gastrointest Endosc. 2012;4:50–6.

    CrossRef  PubMed Central  PubMed  Google Scholar 

  18. Ozdil E, Parikh D, Krajcer Z, Angelini P. Stent placement in a patient with takayasu's arteritis. Cathet Cardiovasc Diagn. 1996;38:373–6.

    CrossRef  CAS  PubMed  Google Scholar 

  19. Kendirli T, Yuksel S, Oral M, Unal N, Tulunay M, Dilek US, Yalcnkaya F. Fatal polyarteritis nodosa with gastrointestinal involvement in a child. Pediatr Emerg Care. 2006;22:810–2.

    CrossRef  PubMed  Google Scholar 

  20. Levine S, Hellmann D, Stone J. Gastrointestinal involvement in polyarteritis nodosa (1986–2000): presentation and outcomes in 24 patients. Am J Med. 2002;112:386–91.

    CrossRef  PubMed  Google Scholar 

  21. Wang HL, Liu HT, Chen Q, Gao Y, Yu KJ. Henoch-schonlein purpura with intestinal perforation and cerebral hemorrhage: a case report. World J Gastroenterol. 2013;19:2574–7.

    CrossRef  PubMed Central  PubMed  Google Scholar 

  22. Janssens P, Arnaud L, Galicier L, Mathian A, Hie M, Sene D, Haroche J, Veyssier-Belot C, Huynh-Charlier I, Grenier PA, Piette JC, Amoura Z. Lupus enteritis: from clinical findings to therapeutic management. Orphanet J Rare Dis. 2013;8:67.

    CrossRef  PubMed Central  PubMed  Google Scholar 

  23. Lin YJ, Chen PC, Chen HA. Mesenteric vasculitis causing ileocecal intussusception as the initial presentation of systemic lupus erythematosus: a case report. Clin Rheumatol. 2013;32 Suppl 1:S37–40.

    CrossRef  PubMed  Google Scholar 

  24. Yuan S, Ye Y, Chen D, Qiu Q, Zhan Z, Lian F, Li H, Liang L, Xu H, Yang X. Lupus mesenteric vasculitis: clinical features and associated factors for the recurrence and prognosis of disease. Semin Arthritis Rheum. 2014;43(6):759–66.

    CrossRef  CAS  PubMed  Google Scholar 

  25. Yokota K, Akiyama Y, Sato K, Shindo Y, Yoshida Y, Miyoshi F, Akiba H, Nakajima K, Asanuma Y, Mimura T. Vasculo-behcet's disease with non-traumatic subcapsular hematoma of the kidney and aneurysmal dilatations of the celiac and superior mesenteric arteries. Mod Rheumatol/Japan Rheumatism Assoc. 2008;18:615–8.

    CrossRef  Google Scholar 

  26. Warrington K, Matteson E. Management guidelines and outcome measures in giant cell arteritis (gca). Clin Exp Rheumatol. 2007;25:137–41.

    CAS  PubMed  Google Scholar 

  27. Hunder G, Sheps S, Allen G, Joyce J. Daily and alternate-day corticosteroid regimens in treatment of giant cell arteritis: comparison in a prospective study. Ann Intern Med. 1975;82:613–8.

    CrossRef  CAS  PubMed  Google Scholar 

  28. Fields C, Bower T, Cooper L, Hoskin T, Noel A, Panneton J, Sullivan T, Gloviczki P, Cherry KJ. Takayasu's arteritis: operative results and influence of disease activity. J Vasc Surg. 2006;43:64–71.

    CrossRef  PubMed  Google Scholar 

  29. Park W, Gloviczk IP, Cherry KJ, Hallett JJ, Bower T, Panneton J, Schleck C, Ilstrup D, Harmsen W, Noel A. Contemporary management of acute mesenteric ischemia: factors associated with survival. J Vasc Surg. 2002;35:445–52.

    CrossRef  PubMed  Google Scholar 

  30. Tyagi S, Jolly N, Khalilullah M. Multivessel angioplasty in takayasu’s arteritis. Indian Heart J. 1993;45:215–27.

    CAS  PubMed  Google Scholar 

  31. Golden DA, Ring EJ, McLean GK, Freiman DB. Percutaneous transluminal angioplasty in the treatment of abdominal angina. Am J Roentgenol. 1982;139:247–9.

    CrossRef  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Vascular and Endovascular Surgery, Department of Surgery, Mayo Clinic, Rochester, MN, USA

    Mateus P. Correa MD

  2. Gonda Vascular Center, Mayo Clinic, Rochester, MN, USA

    Gustavo S. Oderich MD, FACS

  3. Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN, USA

    Gustavo S. Oderich MD, FACS

Authors
  1. Mateus P. Correa MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Gustavo S. Oderich MD, FACS
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Gustavo S. Oderich MD, FACS .

Editor information

Editors and Affiliations

  1. Division of Vascular and Endovascular Therapy, Mayo Clinic Gonda Vascular Center, Rochester, Minnesota, USA

    Gustavo S. Oderich

Rights and permissions

Reprints and Permissions

Copyright information

© 2015 Springer Science+Business Media New York

About this chapter

Cite this chapter

Correa, M.P., Oderich, G.S. (2015). Non-atherosclerotic Causes of Mesenteric Arterial Disease. In: Oderich, G. (eds) Mesenteric Vascular Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1847-8_10

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-1847-8_10

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1846-1

  • Online ISBN: 978-1-4939-1847-8

  • eBook Packages: MedicineMedicine (R0)