장간막 버거씨병
Mesenteric Buerger’s Disease
김영환, 조용필, 강길현, 장혁재, 김용호, 한명식,
소속 상세정보
김영환 ( Kim Young-Hwan )
울산대학교 의과대학 서울아산병원 외과학교실
조용필 ( Cho Yong-Pil )
울산대학교 의과대학 강릉아산병원 외과학교실
강길현 ( Kang Gil-Hyun )
울산대학교 의과대학 강릉아산병원 진단병리과
장혁재 ( Jang Hyuk-Jai )
울산대학교 의과대학 강릉아산병원 외과학교실
김용호 ( Kim Yong-Ho )
울산대학교 의과대학 강릉아산병원 외과학교실
한명식 ( Han Myoung-Sik )
울산대학교 의과대학 강릉아산병원 외과학교실
KMID : 0371320040670020163
Abstract
Thromboangiitis obliterans (Buerger’s disease) is an uncommon vaso-occlusive, inflammatory disease, occurring in young smokers. It predominantly produces occlusion of small to medium-sized arteries and veins, especially the distal arteries and veins of the upper and lower extremities. Buerger, in his original description, noted that vascular obliteration could involve the mesenteric vessels, but no true series have been reported. Instead, publications have focused on case reports and most reported cases had significant peripheral vascular manifestations of Buerger’s disease before developing mesenteric involvement. Considering the difficulty in early diagnosis and poor prognosis, young smokers with established or suspicious clinical manifestations of extremity Buerger’s disease presenting with gastrointestinal manifestations should be carefully evaluated with a high index of suspicion. If mesenteric Buerger’s disease is suspected clinically or angiographically, early surgical intervention including diagnostic laparoscopy is recommended to prevent or limit bowel gangrene. We report two cases of Buerger’s disease with mesenteric involvement.
키워드
장간막 동맥; 버거씨병; 복막염; Mesenteric arteries; Buerger`s disease; Peritonitis
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