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conferenceseries
.com
Volume 7, Issue 3 (Suppl)
J Gastrointest Dig Syst, an open access journal
ISSN: 2161-069X
Gastro 2017
June 12-13, 2017
June 12-13, 2017 Rome, Italy
11
th
Global
GastroenterologistsMeeting
Jing-Jim Ou et al., J Gastrointest Dig Syst 2017, 7:3(Suppl)
DOI: 10.4172/2161-069X-C1-050
Young man, cigarette smoking and abdominal pain: Mesenteric involvement of Buerger’s disease
Jing-Jim Ou
and
Sheng-Lei Yan
Show Chwan Memorial Hospital, Taiwan
B
uerger’s disease, known as thromboangiitis obliterans, is a progressive, non-arteriosclerotic, inflammatory disease occurring
in male smokers younger than 40-50 years of age. Thromboangiitis obliterans predominantly produces occlusion of small to
medium-sized vessels of upper and lower extremities. Intestinal involvement of thromboangiitis obliterans is rare. We report a case of
32-year-old male cigarette smoker who had prior history of thromboangiitis obliterans of lower limbs and presented at our institution
due to acute abdominal pain. Physical exam revealed diffuse, tender abdomen with diminishing bowel sound. Digital rectal exam
found blood in feces. With a high index of suspicion for mesenteric ischemia, emergent surgery was arranged. Bowel infarction
was diagnosed by diagnostic laparoscopy and was managed successfully with bowel resection. Thromboangiitis obliterans with
mesenteric vascular involvement was confirmed by pathological examination. The literature concerning mesenteric involvement of
thromboangiitis obliterans is reviewed. In most reported cases, mesenteric involvement of Buerger’s disease occurred after the disease
had affected lower extremities. Mesenteric involvement has been the initial clinical manifestation of Buerger’s disease in one reported
case. If a young male with habit of cigarette smoking presented ischemic abdominal pain, especially with history of Buerger's disease,
mesenteric involvement of Buerger's disease should be a part of differential diagnosis.
Biography
Jing-Jim Ou has his expertise in Minimal Invasive Surgery in the field of Colon and Rectal Disease. He completed Surgical Residency training at Tri-Service General
Hospital and then worked as an attending Surgeon at Show Chwan Memorial Hospital. In 2010, he completed his fellowship training at IRCAD in Strabourg. With
the experience of Minimal Invasive Surgery, he also worked as one of the local Faculty at Asian Institute of Tele-Surgery.
jingjimou@gmail.com