Severe Mesenteric Hemorrhagic Infarction by Superior Mesenteric Arterial Occlusion in a Patient with Buerger's Disease

Kyeong Sam Ok; You Sun Kim; Seong Woo Hong; Hye Kyung Lee

doi:10.4166/kjg.2013.61.4.234

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Ok, Kim, Hong, and Lee: Severe Mesenteric Hemorrhagic Infarction by Superior Mesenteric Arterial Occlusion in a Patient with Buerger's Disease

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Korean J Gastroenterol 2013;61(4):234-236.

Published online: 4 October 2013

DOI: https://doi.org/10.4166/kjg.2013.61.4.234

Severe Mesenteric Hemorrhagic Infarction by Superior Mesenteric Arterial Occlusion in a Patient with Buerger's Disease

Kyeong Sam Ok, You Sun Kim, Seong Woo Hong¹, Hye Kyung Lee²

Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea

¹Department of General Surgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea

²Department of Pathology, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea

Correspondence to: You Sun Kim, Department of Internal Medicine, Seoul Paik Hospital, 9, Mareunnae-ro, Jung-gu, Seoul 100-032, Korea. Tel: +82-2-2270-0012, Fax: +82-2-2270-0579, E-mail: yousunk69@korea.com

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

References

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Fig. 1.

The inferior branch of the superior mesenteric artery was obstructed completely by thrombus (A). Enhanced thin wall (narrow arrow) was seen at the antimesenteric border of distal ileum, but the mesenteric border (broad arrow) of the distal ileum was not seen (B).

Fig. 2.

Extensive transmural hemorrhagic infarction involving the distal ileum (red arrow), terminal ileum and cecum was noted. Gangrenous necrosis was also seen at the terminal ileum (yellow arrow).

Fig. 3.

Microscopic findings. (A) Scanning photomicrography of the terminal ileum revealed transmural hemorrhagic infarct with extensive mucosal ulceration and submucosal hemorrhage (H&E, ×100). (B) Thromboangiitis obliterans with multiple fibrin thrombi (arrows) was diagnosed with near total occluding vascular lumina of the submucosa (H&E, ×200).

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ORCID iDs: You Sun Kim
https://orcid.org/http://orcid.org/0000-0002-5156-3458
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