Multiple Spontaneous Small Bowel Perforations due to Systemic Cholesterol Atheromatous Embolism.

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  • FUJIYAMA Atsuko
    The Second Department of Internal Medicine, Kansai Medical University
  • MORI Yasukiyo
    The Second Department of Internal Medicine, Kansai Medical University
  • YAMAMOTO Satoshi
    The Second Department of Internal Medicine, Kansai Medical University
  • IBA Osamu
    The Second Department of Internal Medicine, Kansai Medical University
  • KURIHARA Hirohiko
    The Second Department of Internal Medicine, Kansai Medical University
  • MASAKI Hiroya
    The Second Department of Internal Medicine, Kansai Medical University
  • YONEMOTO Toshinaga
    The Second Department of Internal Medicine, Kansai Medical University
  • NAGATA Toshiko
    The Second Department of Internal Medicine, Kansai Medical University
  • UMEDA Yukihisa
    The Second Department of Internal Medicine, Kansai Medical University
  • YASUMIZU Ryoji
    The First Department of Pathology, Kansai Medical University
  • IKEHARA Susumu
    The First Department of Pathology, Kansai Medical University
  • INADA Mitsuo
    The Second Department of Internal Medicine, Kansai Medical University
  • MATSUBARA Hiroaki
    The Second Department of Internal Medicine, Kansai Medical University
  • IWASAKA Toshiji
    The Second Department of Internal Medicine, Kansai Medical University

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Abstract

A-65-year-old man was admitted for coronary and peripheral angiography to evaluate angina pectoris and peripheral vascular disease. Following angiography, he suffered from blue toes, livedo reticularis and progressive renal failure. The patient's condition continued to deteriorate, including the development of malnutrition. Four months later he suddenly developed panperitonitis, went into shock and died. The autopsy verified multiple perforations of the small bowel with disseminated cholesterol atheromatous embolism. The other organs including kidney were also invaded by atheroembolism. This was a rare case of multiple spontaneous perforations of small bowel due to systemic cholesterol atheromatous embolism.<br>(Internal Medicine 38: 580-584, 1999)

Journal

  • Internal Medicine

    Internal Medicine 38 (7), 580-584, 1999

    The Japanese Society of Internal Medicine

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