Naqvi Haider A, Bilal Muhammed, Yousuf Shuja
Internal Medicine, Medstar Union Memorial Hospital, Baltimore, USA.
Medicine: Surgery, William Carey University College of Osteopathic Medicine, Hattiesburg, USA.
Cureus. 2020 May 26;12(5):e8303. doi: 10.7759/cureus.8303.
Buerger's disease is a type of vasculitis that predominantly affects small to medium arteries and the veins of the upper and lower extremities. Intestinal vessels are rarely involved. This is a case report of a 38-year-old male, smoker, with known Buerger's disease who was found to have ischemic colitis of the sigmoid colon on biopsy and inferior mesenteric artery occlusion on computed tomography (CT) angiography. Intestinal ischemia is a rare complication in Buerger's disease. Patients may present with vague abdominal symptoms. Given the very low incidence of intestinal involvement, social history and clinical correlation are of chief importance for early detection. Smoking cessation is paramount, as it is the mainstay treatment of the underlying disease.
血栓闭塞性脉管炎是一种血管炎，主要影响中小动脉以及上下肢的静脉。肠道血管很少受累。本文报告一例38岁男性吸烟者，已知患有血栓闭塞性脉管炎，活检发现乙状结肠缺血性结肠炎，计算机断层扫描（CT）血管造影显示肠系膜下动脉闭塞。肠道缺血是血栓闭塞性脉管炎中一种罕见的并发症。患者可能出现模糊的腹部症状。鉴于肠道受累的发生率极低，社会史和临床关联对于早期检测至关重要。戒烟至关重要，因为它是基础疾病的主要治疗方法。
