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Intestinal type of thromboangiitis obliterans (Buerger's disease)
Author(s) -
Schellong S. M.,
Bernhards J.,
Ensslen F.,
Schäfers H. J.,
Alexander K.
Publication year - 1994
Publication title -
journal of internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.625
H-Index - 160
eISSN - 1365-2796
pISSN - 0954-6820
DOI - 10.1111/j.1365-2796.1994.tb01034.x
Subject(s) - buerger's disease , medicine , dermatology , systemic disease , disease
. Thromboangiitis obliterans (TAO) is a recurrent, inflammatory, segmental occlusive disease of distal limb arteries which may involve veins as well. Young smokers are predisposed to TAO. The intestinal vessels are rarely affected. We report the clinical, angiografic and histologic findings of a 23‐year‐old smoker with extended thrombophlebitis who developed severe abdominal angina and liver hypoxia due to occlusion of the coeliac artery and subtotal occlusion of the superior mesenteric artery. Two surgical bypassing procedures were followed by early graft occlusion. Subsequently, a plastic patch of the superior mesenteric artery and an aortohepatica bypass were performed. The literature since 1945 pertinent to intestinal TAO is reviewed.