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Takayasu Arteritis Complicated by Ischemic Colitis: A Case Report.

Shigeyuki Yamashita1, Kanetsugu Nagao1, Toshio Doi1

  • 1First Department of Surgery, University of Toyama, Toyama, Toyama, Japan.

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Summary

Takayasu arteritis rarely causes intestinal ischemia. This case study details a patient with Takayasu arteritis who developed ischemic colitis and was successfully treated with surgical repair, resolving symptoms.

Keywords:
Takayasu arteritisischemic colitisvascular surgery

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Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Rheumatology

Background:

  • Takayasu arteritis is a rare inflammatory condition affecting the aorta and its branches.
  • While abdominal aorta and renal artery involvement is common, celiac and superior mesenteric artery lesions are less frequent.
  • Intestinal ischemia is exceptionally rare due to collateral circulation from the inferior mesenteric artery.

Purpose of the Study:

  • To report a rare case of Takayasu arteritis complicated by ischemic colitis.
  • To highlight the clinical presentation and management of this rare complication.
  • To discuss the implications for surgical intervention in Takayasu arteritis.

Main Methods:

  • Case report of a single patient.
  • Review of clinical presentation, diagnostic findings, and treatment.
  • Surgical repair of affected vessels.

Main Results:

  • The patient presented with ischemic colitis secondary to Takayasu arteritis.
  • Surgical repair was successfully performed.
  • The patient's symptoms were resolved post-surgery.

Conclusions:

  • Takayasu arteritis can, albeit rarely, lead to intestinal ischemia and ischemic colitis.
  • Surgical repair can be an effective treatment for this complication.
  • Early diagnosis and intervention are crucial for favorable outcomes.