A CASE OF ISCHEMIC STRICTURE OF THE SMALL INTESTINE

Abstract

We experienced a case of ischemic stricture of the small intestine. A 44-year-old man with no previous history of any diseases was admitted to the hospital because of abdominal pain with nausea and vomiting after meals. On admission ileus like condition of subileus unknown origin was suspected. His symptoms disappeared by the conservative treatment but recurred after oral intake. Small intestinal radiograms showed a segmental stenosis in the jejunum. Computed tomography showed segmental whole circumferential wall thicking of the intestine. Laparotomy was performed. A portion of the small intestine about 15 cm in length distal from the Treitz' ligament thickened, narrowed, and was covered with the omentum. Involved jejunal segment was resected. By histological examination, the lesion was diagnosed as ischemic stricture of the small intestine because of facts that a 10 cm long stenotic area was composed of whole circumferential UL-II_??_III nonspecific ulcers and that sclerotic changes were seen in the mesenteric arteries around the stenotic area.