Jones D E, Barton J, Cobden I
Department of Medicine, University of Newcastle and North Tyneside General Hospital, North Shields, Newcastle-upon-Tyne, United Kingdom.
Am J Gastroenterol. 1998 Apr;93(4):653-5. doi: 10.1111/j.1572-0241.1998.185_b.x.
Chronic ischemia of the small bowel is classically described as presenting with abdominal pain associated with eating (intestinal angina). Here we describe the cases of two patients with chronic small bowel ischemia who presented atypically with painless watery diarrhea and weight loss. These cases suggest that the clinical spectrum of chronic small bowel ischemia may be wider than previously appreciated. Chronic ischemia of the small bowel should be included in the differential diagnosis for painless watery diarrhea in the context of weight loss.
小肠慢性缺血的典型表现是进食相关的腹痛(肠绞痛)。在此,我们描述了两例小肠慢性缺血患者,他们表现为非典型的无痛性水样腹泻和体重减轻。这些病例表明,小肠慢性缺血的临床谱可能比之前认识到的更广。在体重减轻的情况下,小肠慢性缺血应纳入无痛性水样腹泻的鉴别诊断中。