Multiple ulcers with perforation of the small intestine in buerger’s disease: a case report

Kurata, Atsushi; Nonaka, Takahiro; Arimura, Yasuo; Nunokawa, Masao; Terado, Yuichi; Sudo, Kenichi; Fujioka, Yasunori

doi:10.1016/s0016-5085(03)01065-5

Cited by 18 publications

(9 citation statements)

References 21 publications

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“…A number of unusual mesenteric vascular causes have been described as a cause of small intestinal perforation. Some include: giant cell arteritis, even as an isolated form of the disease [83] , Churg-Strauss syndrome (or allergic granulomatous angiitis) [84][85][86] and other forms of eosinophilic enteritis [87,88] , Wegener's granulomatosis characterized by a necrotizing vasculitis with granulomatous changes of the upper and lower respiratory tract and associated glomerulonephritis [89,90] and Buerger's disease involving multiple sites within the small intestine [91] . Finally, an intriguing patient with a concomitant metabolic disorder has been recorded with spontaneous small intestinal perforation [92] .…”

Section: Miscellaneous Causesmentioning

confidence: 99%

Spontaneous free perforation of the small intestine in adults

Freeman¹

2014

WJG

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Section: Miscellaneous Causesmentioning

confidence: 99%

Spontaneous free perforation of the small intestine in adults

Freeman¹

2014

WJG

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“…Small intestinal involvement can be found in Churg-Strauss syndrome [31–34], systemic lupus erythematosus [35], Buerger's disease [36], Wegener's granulomatosis [37], Weber-Christian disease [38], and systemic sclerosis [39]. Vasculitis could be associated with multiple small intestinal ulcers and their complications (including perforation), but quite rarely with multifocal stenoses of the small bowel.…”

Section: Etiology and Pathogenesismentioning

confidence: 99%

Cryptogenic Multifocal Ulcerous Stenosing Enteritis: A Review of the Literature

Kohoutová

Bártová

Tachecí

et al. 2013

Gastroenterology Research and Practice

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Cryptogenic multifocal ulcerous stenosing enteritis (CMUSE) is an extremely rare illness characterised by chronic or relapsing subileus status resulting from multiple small intestinal fibrous strictures and multiple shallow ulcers of the small bowel. The etiology is unknown and pathogenesis is not fully understood. Therapy with systemic glucocorticosteroids is the treatment of choice. However, most patients develop corticosteroid dependence. Deep enteroscopy enables precise diagnostic work, possible endoscopic treatment of stenoses; may obviate the need for surgery and prevent excessive small bowel resections.

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“…Although rare, lesions in the cerebral artery, 191 coronary artery, 192,193 renal artery, 194 mesenteric artery, 195,196 and internal thoracic artery 193 have been reported.…”

Section: ▋ 42 Involvement Of Visceral Arteriesmentioning

confidence: 99%

JCS 2017 Guideline on Management of Vasculitis Syndrome　― Digest Version ―

Isobe

Amano

Arimura

et al. 2020

Circ J

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AAV ANCA-associated vasculitis ACR American College of Rheumatology ADA adalimumab ANCA anti-neutrophil cytoplasmic antibody AZA azathioprine bDMARDs biologic disease-modifying anti-rheumatic drugs c-ANCA cytoplasmic ANCA CG cryoglobulin CHCC Chapel Hill Consensus Conference Cr creatinine CT computed tomography CRP C-reactive protein CyA cyclosporine CV cryoglobulinemic vasculitis CY cyclophosphamide DMARDs disease-modifying anti-rheumatic drugs * a The aorta and its primary branches corresond to the aorta (ascending, arch, thoracic descending, abdominal descending), primary branches of the aorta (including the coronary artery), and pulmonary artery. * b Multiple lesions are defined as those that involve two or more of the above arteries or sites or two or more segments of the aorta. * c Hypertrophic lesions are detected by ultrasonography (macaroni sign of the common carotid artery), contrast-enhanced CT, contrastenhanced MRI (circumferential contrast enhancement of the arterial wall), and PET-CT (circumferential FDG uptake of the arterial wall). * d Stenotic lesions and dilated lesions are detected by chest radiography (wave-like deformation of the descending aorta), CT angiography, MR angiography, echocardiography (aortic insufficiency), and angiography. They are accompanied by dilatation of the ascending aorta and frequently also by aortic insufficiency. In the chronic stage, circumferential calcification of the arterial wall is visualized by CT, and the development of collateral circulation is detected by CT angiography and MR angiography Points of attention in imaging diagnosis: Contrast-enhanced CT is performed in the late phase of contrast enhancement. CT angiography is performed in the early phase of contrast enhancement with 3-dimensional image processing. Angiography is usually performed when other procedures such as endovascular treatment and coronary artery angiography or left ventriculography are simultaneously intended. C. Conditions to be included in the differential diagnoses of Takayasu arteritis Arteriosclerosis, congenital vascular anomaly, inflammatory abdominal aortic aneurysm, infectious aneurysm, syphilitic mesaortitis, giant cell arteritis (temporal arteritis), vascular Behçet's disease, IgG4-related diseases. Definite: At least 1 of the items in A + any of the conditions in B are observed, and conditions in C can be excluded.

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Multiple ulcers with perforation of the small intestine in buerger’s disease: a case report

Cited by 18 publications

References 21 publications

Spontaneous free perforation of the small intestine in adults

Spontaneous free perforation of the small intestine in adults

Cryptogenic Multifocal Ulcerous Stenosing Enteritis: A Review of the Literature

JCS 2017 Guideline on Management of Vasculitis Syndrome　― Digest Version ―

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Multiple ulcers with perforation of the small intestine in buerger’s disease: a case report

Cited by 18 publications

References 21 publications

Spontaneous free perforation of the small intestine in adults

Spontaneous free perforation of the small intestine in adults

Cryptogenic Multifocal Ulcerous Stenosing Enteritis: A Review of the Literature

JCS 2017 Guideline on Management of Vasculitis Syndrome ― Digest Version ―

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Product

Resources

About

JCS 2017 Guideline on Management of Vasculitis Syndrome　― Digest Version ―