Thromboangiitis Obliterans (Buerger's Disease) with Intestinal Involvement

Garcia, Agustin; Cubero, L. López; Zalba, L. Rico; Otero, Antonio; Octavio, Juan Gómez; Arribas, Antonio

doi:10.1177/000331979804900611

Cited by 9 publications

(6 citation statements)

References 4 publications

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“…Similar pathophysiologic findings have been noted in case reports involving the coronary and internal thoracic arteries [18], mesenteric arteries and veins [19], and the cerebral vessels (also referred to as Spatz-Lindenberg disease) [20]. The diagnostic criteria for these unusual forms of TAO remain unclear, however, given the small number of cases reported.…”

Section: Opinion Statementsupporting

confidence: 63%

Thromboangiitis Obliterans (Buerger’s Disease)

Jaff

2000

Curr Treat Options Cardio Med

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Thromboangiitis obliterans (TAO) is a devastating nonatherosclerotic disease that often leads to digit and limb loss as well as intractable ischemic rest pain. Patients with TAO are uniformly heavy users of tobacco. This disorder is characterized as a miscellaneous form of vasculitis affecting small- and medium-sized arteries and veins. TAO causes painful ischemic ulcers of the digits and unusually painful and inflammatory superficial thrombophlebitis. The key to early diagnosis of TAO is a high clinical index of suspicion in the appropriate patient scenario, exclusion of any other potential cause, abnormal results from an Allen's test, and arteriographic findings of segmental digital arterial occlusions with "corkscrew" collateral vessels. The primary and clearly most effective therapy for TAO is cessation of the use of all tobacco products, with avoidance of any environmental tobacco smoke inhalation. There has been recent enthusiasm for prostaglandin E therapy and the intramuscular injection of angiogenic growth factors. For patients in whom the disease is identified late or for those who are unable to discontinue cigarette smoking, however, a frequent result is multiple limb amputations.

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Section: Opinion Statementsupporting

confidence: 63%

Thromboangiitis Obliterans (Buerger’s Disease)

Jaff

2000

Curr Treat Options Cardio Med

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“…Die Thrombangitis obliterans (WiniwaterBuerger-Syndrom) ist eine Erkrankung mit letztendlich unklarer Genese, von der meist junge Männer mit starkem Nikotinkonsum betroffen sind; dieser Erkrankung liegt eine Entzündung der kleinen und mittleren Arterien und Venen zugrunde, die auch in selteneren Fällen die Mesenterialgefäße betreffen kann [1,25]. Unklare Bauchschmerzen bei jungen Männer mit starkem Nikotinkonsum sollten an diese seltene Differenzialdiagnose denken lassen [14,24,30]. Differenzialdiagnostisch in Betracht gezogen werden müssen auch die in Ta Weitere seltene Ursachen chronischer okklusiver Darmischämien sind chronische Dissektion, fibromuskuläre Dysplasie, Gefäßmissbildungen, chronische Traumafolge oder Gefäßkompres-sion von außen ebenso wie das sog.…”

Section: Chronisch-okklusive Mesenteriale Ischämieunclassified

Partielle Ischämien

Izbicki

Kastl

2003

Chirurg

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Partial mesenteric ischemia is defined as an incomplete occlusion of the superior mesenteric artery resulting in acute abdominal pain, distended abdomen,and bowel hypomotility on auscultation. This disease can be acute or chronic and is caused by vascular occlusion or non-occlusive mechanisms. CT scan and ultrasound show a thickening of the ischemic bowel wall. On endoscopy, initially mucosal edema is observed which may proceed to necrosis. Therapy modalities depend upon the clinical findings: prevailing acute abdominal pain and peritonitis result in emergency laparotomy; prevailing cramping abdominal pain without clinical signs of peritonitis allows time for further diagnostic steps such as mesenteric angiography and interventional procedures. Laparoscopy should be performed in exceptional situations only.

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“…In der Literatur finden sich für den Befall von Viszeralarterien nur wenige Fallbeispiele [2, 3, 4, 5, 6,7,8,10,11,14,15,18,19,20,21].…”

Section: Schlüsselwörterunclassified

“…Bei jungen Patienten mit bekannter Erkrankung sollte bei Vorliegen einer abdominellen Symptomatik auch eine viszerale Manifestation ihrer Erkrankung in Erwägung gezogen werden. In der Literatur werden sowohl akute als auch chronische Verschlussprozesse bei dieser Erkrankung beschrieben [2, 3, 4, 5, 6,7,8,10,11,14,15,18,19,20,21]. In unserem Fall lagen der akuten abdominellen Symptomatik sowohl akute als auch chronische Verschlussprozesse zugrunde.…”

Section: Diskussionunclassified

“…In den meisten Fällen, wie auch in unserem Fall, waren hierbei der Truncus coeliacus bzw. die A. mesenterica superior betroffen [2,4,7,8,10,11,15,20,21]. Weiteren Fallberichten zufolge zeigten sich bei akuten Verschlüssen gehäuft Ischämien mit über 70% im Bereich des Dünndarms (Jejunum, Ileum) und bis zu 25% im Dickdarmbereich (insbesondere Colon ascendens und Sigma).…”

Section: Diskussionunclassified

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Mesenterialarterienverschluss als seltene Komplikation bei Thrombangiitis obliterans

Pfitzmann

Nüssler

Heise

et al. 2002

Chirurg

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Mesenteric artery occlusions are rare complications of Thrombangiitis obliterans (Buerger's disease). We report on a 30-year old male with Thrombangiitis obliterans and mesenteric occlusion as a complication of this disease. Because of unclear abdominal pain, laparoscopy was performed which showed small bowel infarction and reduced liver perfusion. After small bowel resection and a second examination, ischemia of the intestinum continued. Angiography was performed, which showed central occlusion of the celiac trunk and the superior mesenteric artery. Relaparotomy with the embolectomy of the superior mesenteric artery, venous bypass from the sup.mes.art. to the hepatic arteries and repeated small bowel resection was performed. The patient recovered completely and was discharged from hospital after 3 weeks. After a further admission to the hospital 3 weeks later with abdominal pain caused by acute occlusion of the right colonic artery and severe ischemia of the right hemicolon, a right hemicolectomy was performed. Now, one year after the last hospital admission, the patient shows no sign of having any abdominal problems.

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Thromboangiitis Obliterans (Buerger's Disease) with Intestinal Involvement

Cited by 9 publications

References 4 publications

Thromboangiitis Obliterans (Buerger’s Disease)

Thromboangiitis Obliterans (Buerger’s Disease)

Partielle Ischämien

Mesenterialarterienverschluss als seltene Komplikation bei Thrombangiitis obliterans

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