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Intestinal Thromboangiitis Obliterans (Buerger’s Disease): a Case Report

  • Ibrahim RadwanEmail author
  • Beshoi Bortam
  • Nguyen Tien Huy
Case Report

Abstract

Buerger’s disease is an unknown etiology, inflammatory vaso-occlusive, and non-arteriosclerotic vascular disease. It affects medium- or small-sized arteries and veins; uncommonly it involves in vesical vessels. A 43-year-old man, previously diagnosed with Buerger’s disease for 25 years, presented with acute abdomen. Urgent laparotomy was done, and a perforated jejunal ulcer and peritonitis were detected. The patient had to undergo recurrent laparotomy for mesenteric ischemia. A case of intestinal manifestation of the disease with superior mesenteric vessels occlusion represents unexpected manifestation of the disease. Early diagnosis is the key for true clinical management and good willing prognosis.

Keywords

Thromboangiitis obliterans Intestine/bowel Complication Buerger’s disease 

Abbreviations

TAO

Thromboangiitis obliterans

ER

Emergency room

FAST

Focused abdominal sonography for trauma

AST

Aspartate transaminase

ALT

Alanine transaminase

ALP

Alkaline phosphatase

HCV

Hepatitis C virus

HBV

Hepatitis B virus

HIV

Human immunodeficiency virus

ECG

Electrocardiography

NPO

Nil per os

IV

Intravenous

DJ

Duodenojejunal

TLC

Total lymphocyte count

INR

International normalized ratio

CRP

C-reactive protein

ESR

Erythrocyte sedimentation rate

ICU

Intensive care unit

FFP

Fresh frozen plasma

TPN

Total parenteral nutrition

MRI

Magnetic resonance imaging

ERCP

Endoscopic retrograde cholangiopancreatography

Notes

Compliance with Ethical Standards

Ethics Statement

The Institutional Review Board (IRB) of Mataria Teaching Hospital stated no ethical IRB approval was required, and a written informed consent for publication was obtained and signed by the patient after his second operation.

Conflict of Interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Buerger L (1908) Thrombo-angiitis obliterans: a study of the vascular lesions leading to presenile spontaneous gangrene. Trans Assoc Am Phys 23:200Google Scholar
  2. 2.
    Fazeli B, Rezaee SA (2011) A review on thromboangiitis obliterans pathophysiology: thrombosis and angiitis, which is to blame? Vascular. 19(3):141–153. Epub 2011/06/10.  https://doi.org/10.1258/vasc.2010.ra0045 CrossRefGoogle Scholar
  3. 3.
    Calguneri M, Ozturk MA, Ay H, Arsava EM, Altinok D, Ertenli I et al (2004) Buerger’s disease with multisystem involvement. A case report and a review of the literature. Angiology. 55(3):325–328 Epub 2004/05/25Google Scholar
  4. 4.
    Shionoya S (1998) Diagnostic criteria of Buerger’s disease. International journal of cardiology. 1998;66 Suppl 1:S243–5; discussion S7. Epub 1999/02/10Google Scholar

Copyright information

© Association of Surgeons of India 2019

Authors and Affiliations

  1. 1.Department of General SurgeryMataria Teaching HospitalCairoEgypt
  2. 2.Department of Clinical Product Development, Institute of Tropical Medicine (NEKKEN), School of Tropical Medicine and Global HealthNagasaki UniversityNagasakiJapan

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