Talansky A L, Katz S, Naidich J
Am J Gastroenterol. 1985 Apr;80(4):257-9.
Extensive occlusive mesenteric vascular disease is described in a 41-year-old man, resulting in aphthous ulcers of the stomach, small bowel, and colon. Ischemic disease was confirmed angiographically and ultimately by surgical intervention. No evidence of inflammatory bowel disease was detected. Occlusive vascular disease must be considered in the differential diagnosis of aphthous ulcers of the gastrointestinal tract. The risks of angiography may be warranted in the presence of atypical and unresponsive inflammatory bowel disease, especially when it coexists with vascular disease elsewhere.
一名41岁男性被诊断患有广泛的闭塞性肠系膜血管疾病，导致胃、小肠和结肠出现阿弗他溃疡。通过血管造影术并最终经手术干预确诊为缺血性疾病。未检测到炎症性肠病的证据。在胃肠道阿弗他溃疡的鉴别诊断中必须考虑闭塞性血管疾病。在存在非典型且无反应性的炎症性肠病时，尤其是当它与其他部位的血管疾病共存时，血管造影的风险可能是合理的。
