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Related Experiment Videos

Aphthous ulcers in ischemic gastroenterocolitis: a case report.

A L Talansky, S Katz, J Naidich

    The American Journal of Gastroenterology
    |April 1, 1985
    PubMed
    Summary

    Extensive occlusive mesenteric vascular disease caused gastrointestinal aphthous ulcers in a patient. Angiography and surgery confirmed ischemic disease, ruling out inflammatory bowel disease.

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    Area of Science:

    • Gastroenterology
    • Vascular Surgery
    • Diagnostic Imaging

    Background:

    • Aphthous ulcers in the gastrointestinal tract can present diagnostic challenges.
    • Inflammatory bowel disease (IBD) is a common consideration for gastrointestinal ulcerations.

    Observation:

    • A 41-year-old man presented with extensive aphthous ulcers throughout the stomach, small bowel, and colon.
    • Clinical presentation mimicked inflammatory bowel disease but lacked definitive evidence.

    Findings:

    • Angiography confirmed extensive occlusive mesenteric vascular disease as the cause of ischemia.
    • Surgical intervention further validated the diagnosis of vascular disease.
    • No evidence of inflammatory bowel disease was found.

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    Implications:

    • Occlusive vascular disease should be considered in the differential diagnosis of unexplained gastrointestinal aphthous ulcers.
    • Angiography may be a warranted diagnostic tool for atypical gastrointestinal ulcerations, especially when vascular disease is suspected or present elsewhere.