Iung B, Baudouy P, Ngoc V P, Faucher B, Borie H, Longueville G, Valleteau de Moulliac M
Hôpital Saint-Michel, Paris.
Rev Med Interne. 1992 Sep-Oct;13(5):371-4. doi: 10.1016/s0248-8663(05)81203-2.
A case of ischaemic jejunal perforation which could be attributed to mesenteric cholesterol emboli is reported. The jejunal pathology had been preceded by other, more classical sites of systemic cholesterol embolization that occurred immediately after arterial catheterization in this male patient with aneurysm of the abdominal aorta. Emergency segmental resection of the jejunum was performed with satisfactory immediate results. Histological examination of the operative specimen confirmed that the perforation was caused by cholesterol emboli. Cholesterol embolization of the intestine may have various clinical consequences which are reviewed by the authors.
本文报告一例缺血性空肠穿孔病例，其病因可能为肠系膜胆固醇栓子。在该患有腹主动脉瘤的男性患者中，动脉导管插入术后立即出现了其他更典型的全身性胆固醇栓塞部位，随后才出现空肠病变。对空肠进行了急诊节段性切除，术后即刻效果良好。手术标本的组织学检查证实穿孔是由胆固醇栓子引起的。作者回顾了肠道胆固醇栓塞可能产生的各种临床后果。
