Anales de Medicina Interna
versión impresa ISSN 0212-7199
CORDOBES GUAL, J. et al. Buerger's disease with intestinal ischemic involvement. An. Med. Interna (Madrid) [online]. 2005, vol.22, n.5, pp.235-237. ISSN 0212-7199.
Buerger's disease is uncommon arterial disease that affects mainly young people with heavy smoking history . Ischemic symptoms of upper and lower extremities are clearly defined as the most common kind of presentation. Visceral arteries are rarely affected. We report a case of a 44 years old young female with Buerger's disease and mesenteric ischemic involvement, and a revision of the literature about Buerger's disease with visceral affection. Due to the extremely rarity of the intestinal involvement of Buerger's disease, the early diagnosis is difficult, for these reason all patient affected by Buerger's disease who presents intestinal symptoms should be carefully evaluated. Aortography and early laparoscopic revision are very important to limit ischemic intestinal injury and later complications. If hemodynamic instability is present emergency laparotomy at the operating theatre is recommended.
Palabras clave : Buerger's disease; Mesenteric ischemia; Aortography.