Intestinal Thromboangiitis Obliterans (Buerger’s Disease): a Case Report
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.
KeywordsThromboangiitis obliterans Intestine/bowel Complication Buerger’s disease
Focused abdominal sonography for trauma
Hepatitis C virus
Hepatitis B virus
Human immunodeficiency virus
Nil per os
Total lymphocyte count
International normalized ratio
Erythrocyte sedimentation rate
Intensive care unit
Fresh frozen plasma
Total parenteral nutrition
Magnetic resonance imaging
Endoscopic retrograde cholangiopancreatography
Compliance with Ethical Standards
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.
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