Multiple Spontaneous Small Bowel Perforations due to Systemic Cholesterol Atheromatous Embolism

Atsuko FUJIYAMA; Yasukiyo MORI; Satoshi YAMAMOTO; Osamu IBA; Hirohiko KURIHARA; Hiroya MASAKI; Toshinaga YONEMOTO; Toshiko NAGATA; Yukihisa UMEDA; Ryoji YASUMIZU; Susumu IKEHARA; Mitsuo INADA; Hiroaki MATSUBARA; Toshiji IWASAKA

doi:10.2169/internalmedicine.38.580

Atsuko FUJIYAMA, Yasukiyo MORI, Satoshi YAMAMOTO, Osamu IBA, Hirohiko KURIHARA, Hiroya MASAKI, Toshinaga YONEMOTO, Toshiko NAGATA, Yukihisa UMEDA, Ryoji YASUMIZU, Susumu IKEHARA, Mitsuo INADA, Hiroaki MATSUBARA, Toshiji IWASAKA

著者情報

キーワード: atherosclerosis, smoking, hypertension, angiography, renal failure, jejunal perforation

ジャーナルフリー

1999 年 38 巻 7 号 p. 580-584

DOI https://doi.org/10.2169/internalmedicine.38.580

詳細

抄録

A-65-year-old man was admitted for coronary and peripheral angiography to evaluate angina pectoris and peripheral vascular disease. Following angiography, he suffered from blue toes, livedo reticularis and progressive renal failure. The patient's condition continued to deteriorate, including the development of malnutrition. Four months later he suddenly developed panperitonitis, went into shock and died. The autopsy verified multiple perforations of the small bowel with disseminated cholesterol atheromatous embolism. The other organs including kidney were also invaded by atheroembolism. This was a rare case of multiple spontaneous perforations of small bowel due to systemic cholesterol atheromatous embolism.
(Internal Medicine 38: 580-584, 1999)

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