A Case of Difficult Diagnosis of Superior Mesenteric Arterial Obstrcution.

• Tezuka Kenji

  First Department of Surgery, Osaka City University Medical School

• Onoda Naoyoshi

  First Department of Surgery, Osaka City University Medical School Department of Oncology, Institute of Geriatrics and Medical Science, Osaka City University Medical School

• Nishiguchi Yukio

  First Department of Surgery, Osaka City University Medical School

• Yamada Nobuya

  First Department of Surgery, Osaka City University Medical School

• Maeda Kiyoshi

  First Department of Surgery, Osaka City University Medical School

• Ohira Masaichi

  First Department of Surgery, Osaka City University Medical School

• Ishikawa Tetsuro

  First Department of Surgery, Osaka City University Medical School

• Hara Junichi

  Third Department of Internal Medicine, Osaka City University Medical School

• Oshitani Nobuhide

  Third Department of Internal Medicine, Osaka City University Medical School

• Hirakawa Kosei

  First Department of Surgery, Osaka City University Medical School

Bibliographic Information

Other Title

• 診断に難渋した上腸間膜動脈閉塞症の１例

Abstract

Ischemic enteritis is an uncommon occurence, and is seldom diagnosed before operation. We describe a case of superior mesenteric arterial obstruction, which was diagnosed by abdominal angiography, and a re view the Japanese literature of inchemic enteritis. A 51-year old woman was admitted to our hospital because of abdominal pain and watery diarrhea. Contrast radiography of the small intestine showed a segmental stenosis and longitudinal ulcer at the terminal ileum. The patient's symptoms were suggestive of Crohn's dis ease, and conservative treatment improved her symptoms. However, these symptoms recurred repeatedly with the resumption of oral diet. Abdominal CT detected two infarcted lesions of the spleen and the right kid ney which suggested a systemic vascular disease. Abdominal angiography revealed an obstruction of the su perior mesenteric artery in the middle of the surgical trunk with collateral circulation. Under the diagnosis of ischemic enteritis complicated with small intestinal stricture, partial resection of the ileum was performed 4 monthes after the onset of the disease. Pathological examination revealed a deep ulcer with severe granula tion, prominent fibrosis, and hemosiderin devoured by macrophages.

Journal

• The Japanese Journal of Gastroenterological Surgery

  The Japanese Journal of Gastroenterological Surgery 33 (5), 639-643, 2000

  The Japanese Society of Gastroenterological Surgery

Keywords

• ischemic enteritis
• intestinal stricture
• angiography

Details

• CRID: 1390001204913599616
• NII Article ID: 130004343426
• NII Article ID: 110001337452
• NII Book ID: AN00192066
• DOI: 10.5833/jjgs.33.639
• ISSN: 13489372
• ISSN: 03869768
• ISSN: http://id.crossref.org/issn/03869768
• Web Site: https://www.jstage.jst.go.jp/article/jjgs1969/33/5/33_5_639/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2000227182
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed