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Atypical Clinical Presentation of Crohn's Disease with Superior Mesenteric Vein Obstruction and Protein-losing Enteropathy.
Ito, Suguru; Higashiyama, Masaaki; Horiuchi, Kazuki; Mizoguchi, Akinori; Soga, Shigeyoshi; Tanemoto, Rina; Nishii, Shin; Terada, Hisato; Wada, Akinori; Sugihara, Nao; Hanawa, Yoshinori; Furuhashi, Hirotaka; Takajo, Takeshi; Shirakabe, Kazuhiko; Watanabe, Chikako; Komoto, Shunsuke; Tomita, Kengo; Nagao, Shigeaki; Shinozaki, Masami; Nakagawa, Akihiko; Kubota, Michio; Miyagishima, Daisuke; Gotoh, Nobuaki; Miura, Soichiro; Ueno, Hideki; Hokari, Ryota.
Afiliação
  • Ito S; Department of Internal Medicine, National Defense Medical College, Japan.
  • Higashiyama M; Department of Internal Medicine, National Defense Medical College, Japan.
  • Horiuchi K; Department of Internal Medicine, National Defense Medical College, Japan.
  • Mizoguchi A; Department of Internal Medicine, National Defense Medical College, Japan.
  • Soga S; Department of Radiology, National Defense Medical College, Japan.
  • Tanemoto R; Department of Internal Medicine, Self Defense Forces Central Hospital, Japan.
  • Nishii S; Department of Internal Medicine, National Defense Medical College, Japan.
  • Terada H; Department of Internal Medicine, National Defense Medical College, Japan.
  • Wada A; Department of Internal Medicine, National Defense Medical College, Japan.
  • Sugihara N; Department of Internal Medicine, National Defense Medical College, Japan.
  • Hanawa Y; Department of Internal Medicine, National Defense Medical College, Japan.
  • Furuhashi H; Department of Internal Medicine, National Defense Medical College, Japan.
  • Takajo T; Department of Internal Medicine, National Defense Medical College, Japan.
  • Shirakabe K; Department of Internal Medicine, National Defense Medical College, Japan.
  • Watanabe C; Department of Internal Medicine, National Defense Medical College, Japan.
  • Komoto S; Department of Internal Medicine, National Defense Medical College, Japan.
  • Tomita K; Department of Internal Medicine, National Defense Medical College, Japan.
  • Nagao S; Department of Internal Medicine, National Defense Medical College, Japan.
  • Shinozaki M; Department of Gastroenterology, Numazu City Hospital, Japan.
  • Nakagawa A; Department of Gastroenterology, Numazu City Hospital, Japan.
  • Kubota M; Department of Gastroenterology, Numazu City Hospital, Japan.
  • Miyagishima D; Department of Gastroenterology, Numazu City Hospital, Japan.
  • Gotoh N; Department of Gastroenterology, Numazu City Hospital, Japan.
  • Miura S; Department of Internal Medicine, National Defense Medical College, Japan.
  • Ueno H; Department of Surgery, National Defense Medical College, Japan.
  • Hokari R; Department of Internal Medicine, National Defense Medical College, Japan.
Intern Med ; 58(3): 369-374, 2019 Feb 01.
Article em En | MEDLINE | ID: mdl-30210116
We herein report a 44-year-old man suffering from systemic edema due to protein-losing enteropathy (PLE) with superior mesenteric vein (SMV) obstruction and development of collateral veins, which subsequently proved to be a chronic result of thrombosis and a complication of Crohn's disease (CD). PLE was supposedly induced by both intestinal erosion and thrombosis-related lymphangiectasia, which was histologically proven in his surgically-resected ileal stenosis. Elemental diet and anti-TNFα agent improved his hypoalbuminemia after surgery. The rarity of the simultaneous coexistence of SMV obstruction and PLE and the precedence of these complications over typical abdominal symptoms of CD made the clinical course complex.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Enteropatias Perdedoras de Proteínas / Doença de Crohn / Trombose Venosa / Veias Mesentéricas Tipo de estudo: Etiology_studies Limite: Adult / Humans / Male Idioma: En Ano de publicação: 2019 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Enteropatias Perdedoras de Proteínas / Doença de Crohn / Trombose Venosa / Veias Mesentéricas Tipo de estudo: Etiology_studies Limite: Adult / Humans / Male Idioma: En Ano de publicação: 2019 Tipo de documento: Article