[Small bowel obstruction secondary to ischemic stenosis due to cholesterol crystal embolism]. / Occlusion du grêle secondaire à une sténose ischémique par embolie de cristaux de cholestérol.
Ann Med Interne (Paris)
; 151(5): 417-20, 2000 Sep.
Article
em Fr
| MEDLINE
| ID: mdl-11033479
ABSTRACT
Cholesterol crystal embolization is a well-known disorder resulting from release of cholesterol crystals from ulcerous atherosclerotic plaques. Gastrointestinal involvement occurs in about a third of cases, but it is usually asymptomatic. We report a case of an old woman with small bowel obstruction secondary to atheromatous embolism. She was treated by acenocoumarol for atrial fibrillation and pulmonary embolism. Two weeks before admission for small bowel obstruction, she had a watery diarrhea. After 3 weeks of parenteral nutrition, she underwent resection of the involved ileum. Pathological examination showed a small bowel stricture secondary to atheromatous embolism. Cholesterol emboli should be considered as a potential cause of small bowel obstruction in old patient who has taken anticoagulant therapy or after vascular invasive procedure.
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Coleções:
01-internacional
Contexto em Saúde:
3_ND
Base de dados:
MEDLINE
Assunto principal:
Arteriosclerose
/
Embolia de Colesterol
/
Obstrução Intestinal
/
Intestino Delgado
/
Isquemia
Limite:
Aged
/
Aged80
/
Female
/
Humans
Idioma:
Fr
Revista:
Ann Med Interne (Paris)
Ano de publicação:
2000
Tipo de documento:
Article