Small intestinal strictures as a complication of mesenteric vessel thrombosis: two case reports

Abstract Collagenous sprue is a severe malabsorptive disorder, histologically characterized by small intestinal villous and crypt atrophy, and a subepithelial collagen deposit, thicker than 12 µm, that entraps lamina propria cellular elements. Collagenous sprue is a rare disease entity, with only about 60 sporadic cases reported worldwide since it was first described in 1947. Its exact etiology is still under investigation, and its relationship with classic celiac disease and other refractory, spruelike intestinal disorders remains controversial. Two larger-scale studies, in 2009, brought new insights into this elusive, yet emerging, topic. Here, we present a review of the literature on the possible etiology of collagenous sprue, its proposed links to classic celiac disease and to refractory sprue, and its clinical, biochemical, histologic, and molecular features. To our knowledge, all case reports on collagenous sprue in the medical literature to date are summarized.

Download Full-text

Metastatic disease masquerading as small intestinal tumoural masses: two case reports and literature review

Proceedings of Singapore Healthcare ◽

10.1177/2010105817691996 ◽

2017 ◽

Vol 26 (4) ◽

pp. 263-266

Author(s):

Jovell Xing Yi Sim ◽

Ilyana Huda Binte Mohamed Hussain ◽

Wei Qiang Leow

Keyword(s):

Literature Review ◽

Metastatic Disease ◽

Case Reports ◽

Small Intestinal

Download Full-text

Mesenteric Vessel Thrombosis Treatment Experience

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2021.6435 ◽

2021 ◽

Vol 9 (B) ◽

pp. 1098-1104

Author(s):

Vladimir Beloborodov ◽

Vladimir Vorobev ◽

Svetlana Sokolova ◽

Aleksandr Frolov ◽

Denis Kornilov ◽

...

Keyword(s):

Rapid Development ◽

Treatment Result ◽

Mesenteric Vessel ◽

Vascular Thrombosis ◽

Intestinal Necrosis ◽

Group I ◽

Positive Treatment ◽

Contrast Angiography ◽

Group Ii ◽

Vessel Thrombosis

BACKGROUND: One of the most serious diseases among all emergency abdominal pathology is an acute violation of the mesenteric blood circulation. The rapid development of intestinal ischemia results in its infarction and necrosis. AIM: The study aims to assess the survival rate of patients with mesenteric vascular thrombosis, taking into account, the predictor characteristics influence of disease development factors. METHODS: The study presents a retrospective analysis of mesenteric vascular thrombosis clinical cases for 2016–2019. During this period, there were 147 patients with an established diagnosis at the Irkutsk Clinical Hospital No. 1, 21 of them met the study criteria. RESULTS: According to the type of thrombosis, there were two groups – occlusive (Group I, n = 11) and non occlusive (Group II, n = 10). Four patients (36.3%) of Group I and 7 patients (70%) of Group II (p = 0.388) recovered from the disease. Three patients (27.2%) of Group I and 4 patients (40%) of Group II (p = 0.662) received conservative therapy, 2 of them (66.6%) in Group I and 4 (100%) in Group II (p = 0.724) recovered from the disease. In addition, the authors performed a mortality assessment, according to the timing of the visit to a medical institution. Four (50%) out of eight patients who applied in the first 12 h, 2 (66%) out of three – in the first 12–24 h, and 5 (50%) out of 10 for more than 24 h of illness had a positive treatment result in the combined group. CONCLUSION: The patients over 70 years old with peritoneal symptoms and established intestinal necrosis have an extremely unfavorable prognosis. The primary mesenteric vessel thrombosis with additional contrast angiography still gives a moderate treatment prognosis.

Download Full-text

Mesenteric vessel thrombosis and hypercoagulable states

Indian Journal of Pathology and Microbiology ◽

10.4103/0377-4929.81616 ◽

2011 ◽

Vol 54 (2) ◽

pp. 425

Author(s):

Jasmina Ahluwalia ◽

Chetna Agarwal ◽

Reena Das ◽

ManUpdesh Singh Sachdeva ◽

JaiDev Wig ◽

...

Keyword(s):

Mesenteric Vessel ◽

Vessel Thrombosis

Download Full-text

A “mysterious” intrabdominal mass with infectious origin, in a patient with HIV infection under control. A “delayed diagnosis” allows to enlarge our knowledge, by assessing a rare disease

Clinical Management Issues ◽

10.7175/cmi.v5i3.500 ◽

2011 ◽

Vol 5 (3) ◽

pp. 95-106

Author(s):

Sergio Sabbatani ◽

Roberto Manfredi ◽

Benedetta Fabbrizio ◽

Antonio Caira ◽

Fabio Filippo Trapani ◽

...

Keyword(s):

Hiv Infection ◽

Case Reports ◽

Delayed Diagnosis ◽

Fine Needle Biopsy ◽

Giant Cells ◽

Clinical Settings ◽

Atypical Mycobacterium ◽

Probable Case ◽

Infectious Origin ◽

Small Intestinal

A probable case report of an abdominal botryomycosis has been hypothesized in a patient with a stable HIV infection under an effective antiretroviral therapy. Hyperpyrexia, abdominal pain and tenderness, and a thickening of small intestinal walls associated with multiple mesenteric adenopathies and a peritoneal involvement, prompted an ultrasonography-guided fine needle biopsy, and later a laparoscopy-laparotomy which excluded a neoplastic or lymphoproliferative disorders, showing only abundant fibrotic and necrotic-steatonecrotic tissue, with sparse multinuclear giant cells type Langhans. The prompt response to surgical intervention and a treatment with i.v. meropenem alone might be referred to a concurrent gram-negative infection of abdominal origin, until a late culture of an atypical Mycobacterium came to our attention over one month after the end of hospitalization. An updated literature search is presented and discussed, in relationship with the observed, extremely infrequent case reports of botryomycosis in different clinical settings.

Download Full-text

Mid-gut volvulus and mesenteric vessel thrombosis in pregnancy: case report and literature review

Archives of Gynecology and Obstetrics ◽

10.1007/s00404-010-1789-2 ◽

2010 ◽

Vol 283 (S1) ◽

pp. 39-43 ◽

Cited By ~ 6

Author(s):

Losa Hao Shui ◽

Junaid Rafi ◽

Allan Corder ◽

David Mowbray

Keyword(s):

Case Report ◽

Literature Review ◽

Mesenteric Vessel ◽

Vessel Thrombosis ◽

In Pregnancy

Download Full-text

Ex vivo comparison of sliding knot ligatures vs. haemostatic clips for equine small intestinal mesenteric vessel occlusion

BMC Veterinary Research ◽

10.1186/s12917-020-02498-x ◽

2020 ◽

Vol 16 (1) ◽

Author(s):

Gessica Giusto ◽

Marco Gandini

Keyword(s):

Ex Vivo ◽

Vessel Occlusion ◽

Mesenteric Vessel ◽

Small Intestinal

Download Full-text

The Skin in Celiac Disease Patients: The Other Side of the Coin

Medicina ◽

10.3390/medicina55090578 ◽

2019 ◽

Vol 55 (9) ◽

pp. 578 ◽

Cited By ~ 1

Author(s):

Ludovico Abenavoli ◽

Stefano Dastoli ◽

Luigi Bennardo ◽

Luigi Boccuto ◽

Maria Passante ◽

...

Keyword(s):

Clinical Trials ◽

Celiac Disease ◽

Skin Diseases ◽

Case Reports ◽

Case Series ◽

The Other ◽

Gluten Free ◽

Controlled Clinical Trials ◽

Cutaneous Manifestations ◽

Small Intestinal

Celiac disease (CD) is an autoimmune enteropathy that primarily affects the small intestine and is characterized by atrophy of intestinal villi. The manifestations of the disease improve following a gluten-free diet (GFD). CD is associated with various extra-intestinal diseases. Several skin manifestations are described in CD patients. The present paper reviews all CD-associated skin diseases reported in the literature and tries to analyze the pathogenic mechanisms possibly involved in these associations. Different hypotheses have been proposed to explain the possible mechanisms involved in every association between CD and cutaneous manifestations. An abnormal small intestinal permeability seems to be implicated in various dermatological manifestations. However, most of the associations between CD and cutaneous diseases is based on case reports and case series and a few controlled studies. To better assess the real involvement of the cutaneous district in CD patients, large multicentric controlled clinical trials are required.

Download Full-text