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Ischemic Colitis in Buerger's Disease: Case Presentation and Review
Haider A Naqvi1, Muhammed Bilal2, Shuja Yousuf3
1Internal Medicine, Medstar Union Memorial Hospital, Baltimore, USA.
Cureus
|July 1, 2020
Summary
Buerger's disease, a rare vasculitis, can affect intestinal vessels, causing ischemic colitis. Early detection in smokers relies on clinical correlation and smoking cessation is crucial.
Area of Science:
- Vascular Medicine
- Gastroenterology
- Case Reports
Background:
- Buerger's disease is a rare inflammatory condition affecting small to medium arteries and veins, primarily in the limbs.
- Intestinal vessel involvement is an exceptionally rare manifestation of Buerger's disease.
Observation:
- A 38-year-old male smoker with diagnosed Buerger's disease presented with symptoms suggestive of gastrointestinal distress.
- Biopsy confirmed ischemic colitis of the sigmoid colon.
- CT angiography revealed occlusion of the inferior mesenteric artery.
Findings:
- This case highlights intestinal ischemia as a rare but significant complication of Buerger's disease.
- The patient's presentation with vague abdominal symptoms underscores the diagnostic challenge.
- Inferior mesenteric artery occlusion was identified as the cause of ischemic colitis.
Implications:
- Early recognition of intestinal ischemia in Buerger's disease patients is critical.
- Thorough social history, particularly smoking status, and clinical correlation are vital for diagnosis.
- Smoking cessation remains the cornerstone of management for Buerger's disease and its complications.
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