ABSTRACT
A case of an adult patient with intra-abdominal mass syndrome and acute surgical abdomen due to chronic intestinal ischemia with localized perforation and ileal necrosis associated to hepatic granulomatosis and mesenteric adenitis produced by Buerger's disease (thromboangiitis obliterans) is presented herein. The clinical presentation, diagnosis, handling and prognosis of this rare entity were examined.
Subject(s)
Abdomen, Acute/etiology , Ileal Diseases/etiology , Ileum/blood supply , Intestinal Perforation/etiology , Ischemia/etiology , Thromboangiitis Obliterans/complications , Adult , Appendicitis/diagnosis , Diagnosis, Differential , Humans , Ileal Diseases/diagnosis , Intestinal Fistula/etiology , Lymphoma/diagnosis , Male , Peritonitis, Tuberculous/diagnosis , Retroperitoneal Neoplasms/diagnosis , Subphrenic Abscess/etiology , Thromboangiitis Obliterans/diagnosis , Thromboangiitis Obliterans/pathologyABSTRACT
Se presenta el caso de un paciente con síndrome de masa intraabdominal y abdomen agudo quirúrgico debido a isquemia intestinal crónica con perforación localizada y necrosis ileal asociada a granulomatosis hepática y adenopatías mesentéricas por enfermedad de Buerger (tromboangeitis obliterante). Se discute la presentación clínica, diagnóstico, manejo y pronóstico de esta rara entidad.