Ischemic enteritis with intestinal stenosis
A 75-year-old man was admitted to our hospital with sudden onset of vomiting and abdominal distension. The patient was taking medication for arrhythmia. Computed tomography showed stenosis of the ileum and a small bowel dilatation on the oral side from the region of stenosis. A transnasal ileus tube...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Association for the Study of Intestinal Diseases
2016-01-01
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| Series: | Intestinal Research |
| Subjects: | |
| Online Access: | http://www.irjournal.org/upload/pdf/ir-14-89.pdf |
| _version_ | 1819174711581474816 |
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| author | Yorimitsu Koshikawa Hiroshi Nakase Minoru Matsuura Takuya Yoshino Yusuke Honzawa Naoki Minami Satoshi Yamada Yumiko Yasuhara Shigehiko Fujii Toshihiro Kusaka Dai Manaka Hiroyuki Kokuryu |
| author_facet | Yorimitsu Koshikawa Hiroshi Nakase Minoru Matsuura Takuya Yoshino Yusuke Honzawa Naoki Minami Satoshi Yamada Yumiko Yasuhara Shigehiko Fujii Toshihiro Kusaka Dai Manaka Hiroyuki Kokuryu |
| author_sort | Yorimitsu Koshikawa |
| collection | DOAJ |
| description | A 75-year-old man was admitted to our hospital with sudden onset of vomiting and abdominal distension. The patient was taking medication for arrhythmia. Computed tomography showed stenosis of the ileum and a small bowel dilatation on the oral side from the region of stenosis. A transnasal ileus tube was placed. Enteroclysis using contrast medium revealed an approximately 6-cm afferent tubular stenosis 10 cm from the terminal ileum and thumbprinting in the proximal bowel. Transanal double-balloon enteroscopy showed a circumferential shallow ulcer with a smooth margin and edema of the surrounding mucosa. The stenosis was so extensive that we could not perform endoscopic balloon dilation therapy. During hospitalization, the patient's nutritional status deteriorated. In response, we surgically resected the region of stenosis. Histologic examination revealed disappearance of the mucosal layer and transmural ulceration with marked fibrosis, especially in the submucosal layer. Hemosiderin staining revealed sideroferous cells in the submucosal layers. Based on the pathologic findings, the patient was diagnosed with ischemic enteritis. The patient's postoperative course was uneventful. |
| first_indexed | 2024-12-22T20:43:19Z |
| format | Article |
| id | doaj.art-7e3cc296f77e4d48a04cbe54f62aae5a |
| institution | Directory Open Access Journal |
| issn | 1598-9100 2288-1956 |
| language | English |
| last_indexed | 2024-12-22T20:43:19Z |
| publishDate | 2016-01-01 |
| publisher | Korean Association for the Study of Intestinal Diseases |
| record_format | Article |
| series | Intestinal Research |
| spelling | doaj.art-7e3cc296f77e4d48a04cbe54f62aae5a2022-12-21T18:13:17ZengKorean Association for the Study of Intestinal DiseasesIntestinal Research1598-91002288-19562016-01-01141899510.5217/ir.2016.14.1.89188Ischemic enteritis with intestinal stenosisYorimitsu Koshikawa0Hiroshi Nakase1Minoru Matsuura2Takuya Yoshino3Yusuke Honzawa4Naoki Minami5Satoshi Yamada6Yumiko Yasuhara7Shigehiko Fujii8Toshihiro Kusaka9Dai Manaka10Hiroyuki Kokuryu11Department of Gastroenterology and Hepatology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.Department of Gastroenterology and Hepatology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.Department of Gastroenterology and Hepatology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.Department of Gastroenterology and Hepatology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.Department of Gastroenterology and Hepatology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.Department of Gastroenterology and Hepatology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.Department of Gastroenterology and Hepatology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.Department of Pathology, Kyoto Katsura Hospital, Kyoto, Japan.Digestive Disease Center, Kyoto Katsura Hospital, Kyoto, Japan.Digestive Disease Center, Kyoto Katsura Hospital, Kyoto, Japan.Digestive Disease Center, Kyoto Katsura Hospital, Kyoto, Japan.Digestive Disease Center, Kyoto Katsura Hospital, Kyoto, Japan.A 75-year-old man was admitted to our hospital with sudden onset of vomiting and abdominal distension. The patient was taking medication for arrhythmia. Computed tomography showed stenosis of the ileum and a small bowel dilatation on the oral side from the region of stenosis. A transnasal ileus tube was placed. Enteroclysis using contrast medium revealed an approximately 6-cm afferent tubular stenosis 10 cm from the terminal ileum and thumbprinting in the proximal bowel. Transanal double-balloon enteroscopy showed a circumferential shallow ulcer with a smooth margin and edema of the surrounding mucosa. The stenosis was so extensive that we could not perform endoscopic balloon dilation therapy. During hospitalization, the patient's nutritional status deteriorated. In response, we surgically resected the region of stenosis. Histologic examination revealed disappearance of the mucosal layer and transmural ulceration with marked fibrosis, especially in the submucosal layer. Hemosiderin staining revealed sideroferous cells in the submucosal layers. Based on the pathologic findings, the patient was diagnosed with ischemic enteritis. The patient's postoperative course was uneventful.http://www.irjournal.org/upload/pdf/ir-14-89.pdfIschemiaIntestinesStenosisDouble-balloon enteroscopy |
| spellingShingle | Yorimitsu Koshikawa Hiroshi Nakase Minoru Matsuura Takuya Yoshino Yusuke Honzawa Naoki Minami Satoshi Yamada Yumiko Yasuhara Shigehiko Fujii Toshihiro Kusaka Dai Manaka Hiroyuki Kokuryu Ischemic enteritis with intestinal stenosis Intestinal Research Ischemia Intestines Stenosis Double-balloon enteroscopy |
| title | Ischemic enteritis with intestinal stenosis |
| title_full | Ischemic enteritis with intestinal stenosis |
| title_fullStr | Ischemic enteritis with intestinal stenosis |
| title_full_unstemmed | Ischemic enteritis with intestinal stenosis |
| title_short | Ischemic enteritis with intestinal stenosis |
| title_sort | ischemic enteritis with intestinal stenosis |
| topic | Ischemia Intestines Stenosis Double-balloon enteroscopy |
| url | http://www.irjournal.org/upload/pdf/ir-14-89.pdf |
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