Document Detail


Lower extremity arterial occlusive disease as a rare complication of Crohn's disease.
MedLine Citation:
PMID:  19848318     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate the clinical characteristics and treatment strategy of lower extremity arterial occlusive disease in patients with Crohn's disease (CD). METHODS: Clinical information of 9 cases suffering from lower extremity arterial occlusion and CD was investigated retrospectively. RESULTS: All the cases were less than 50 years old and the most were females (8/9). Arterial occlusions occurred in either active (5/9) or inactive (4/9) stage of CD. Besides the arteries of lower extremities, other arteries could also be involved such as aorta, iliac artery, renal artery or mesentery artery. Seven cases had atherosclerotic imaging findings (4 had aortic plaques and 6 had iliac artery stenoses). Embolectomy or thromboendarterectomy were mostly performed. Four (44.4%) cases had recurrent lower limb ischemia. CONCLUSIONS: Arterial occlusive disease is a rare extraintestinal manifestation of CD. A thorough inspection of aorta is necessary. Embolectomy is mostly preferred. Anticoagulation treatment is highly recommended after the operation.
Authors:
Wei-Wei Wu; Xue-Ying Jiang; Chang-Wei Liu; Yong-Jun Li; Rong Zeng
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chinese medical sciences journal = Chung-kuo i hsüeh k'o hsüeh tsa chih / Chinese Academy of Medical Sciences     Volume:  24     ISSN:  1001-9294     ISO Abbreviation:  Chin. Med. Sci. J.     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-10-23     Completed Date:  2009-12-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9112559     Medline TA:  Chin Med Sci J     Country:  China    
Other Details:
Languages:  eng     Pagination:  167-71     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
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MeSH Terms
Descriptor/Qualifier:
Adult
Arterial Occlusive Diseases / etiology*,  surgery
Atherosclerosis / etiology,  surgery
Crohn Disease / complications*
Embolectomy
Female
Humans
Leg
Male
Thrombectomy
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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