Cho Yong Pil, Kwon Young Mi, Kwon Tae Won, Kim Geun Eun
Department of Surgery, Asan Kangnung Hospital, Kangnung, Korea.
Ann Vasc Surg. 2003 Mar;17(2):221-3. doi: 10.1007/s10016-001-0220-7. Epub 2003 Mar 14.
A young male patient with a history of heavy smoking and low-extremity Buerger's disease was operated on because of small bowel infarction. The postoperative histopathological diagnosis was mesenteric involvement of Buerger's disease. Mesenteric Buerger's disease is extremely rare, the early diagnosis is difficult, and the prognosis is poor. Considering the difficulty in diagnosis and the poor prognosis, patients with Buerger's disease presenting with gastrointestinal manifestations should be carefully evaluated, and early surgical intervention is recommended.
一名有大量吸烟史且患有下肢血栓闭塞性脉管炎的年轻男性患者因小肠梗死接受了手术。术后组织病理学诊断为血栓闭塞性脉管炎累及肠系膜。肠系膜血栓闭塞性脉管炎极为罕见,早期诊断困难,预后不良。鉴于诊断困难及预后不佳,对于出现胃肠道表现的血栓闭塞性脉管炎患者应进行仔细评估,建议早期手术干预。