Extensive Bowel Ischemia with Heavy Alcohol Consumption: Report of a Case
이지현, 노경태, 이령아,
소속 상세정보
이지현 ( Lee Ji-Hyun )
Gyeonggi-do Medical Center Pocheon Hospital Department of Surgery
노경태 ( Noh Kyoung-Tae )
Ewha Womans University School of Medicine Department of Surgery
이령아 ( Lee Ryung-Ah )
Ewha Womans University School of Medicine Department of Surgery
KMID : 0356720120280010061
Abstract
Alcohol is well-recognized systemic toxin that causes numerous adverse effects, including psychosocial problems, fatal myocardial infarction, stroke and atherosclerosis. The intra-abdominal complications caused by acute alcohol consumption have not been defined. We report an 80-year-old man with sub-acute small bowel and colonic ischemia after heavy alcohol intake in one sitting. We performed a resection of gangrenous bowel segments. Microscopically, there were diffuse infarction, with vasoconstriction of the mesenteric vessels in the ileum and colon without any thrombotic occlusion of the intestinal vessels. The clinicians should always be assured by confirmation of a history of recent substance abuse in patients with unexplained abdominal pain, and mesenteric ischemia should be considered in the differential diagnosis of acute or chronic abdominal pain in consumers of alcohol.
키워드
Alcohols; Intestinal ischemia; Vasoconstriction
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