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Intestinal ischemia secondary to thromboangiitis obliterans

  • Case Reports
  • Published:
Annals of Vascular Surgery

Abstract

A 38-year-old woman presented with a 10-month history of postprandial abdominal pain and weight loss. She smoked two packs of cigarettes a day, but her history did not indicate diabetes mellitus, hyperlipidemia, or hypercoagulability. A lateral aortogram documented complete occlusion of all three mesenteric arteries but showed no evidence of atherosclerosis, arteritis, or medial fibroplasia. Two retrograde aortomesenteric grafts, one to the superior mesenteric artery and another to the meandering mesenteric artery, utilizing the greater saphenous vein were placed. Pathologic examination of the inferior mesenteric artery demonstrated changes that were considered diagnostic of thromboangiitis obliterans. We found only 10 confirmed cases of thromboangiitis obliterans involving the mesenteric vessels in the English language literature. The present case appears to be the first involving a woman and the only one in which the main trunk of all three mesenteric vessels was involved.

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Authors and Affiliations

  1. From the Division of Vascular Surgery, Department of Surgery and Department of Pathology (D.D.K. and C.F.P.), University of Cincinnati Medical Center, Cincinnati, Ohio

    Richard F. Kempczinski MD, Steven M. Clark MD, John Blebea MD, Daniel D. Koelliker MD & Cecilia Fenoglio-Preiser MD

Authors
  1. Richard F. Kempczinski MD
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  2. Steven M. Clark MD
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  3. John Blebea MD
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  4. Daniel D. Koelliker MD
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  5. Cecilia Fenoglio-Preiser MD
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Kempczinski, R.F., Clark, S.M., Blebea, J. et al. Intestinal ischemia secondary to thromboangiitis obliterans. Annals of Vascular Surgery 7, 354–358 (1993). https://doi.org/10.1007/BF02002889

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  • DOI: https://doi.org/10.1007/BF02002889

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