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Mesenteric vasculopathy in intestinal tuberculosis

N K Kuwajerwala1, R D Bapat, A S Joshi

  • 1Department of General Surgery, Seth G S Medical College, Mumbai.

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|November 14, 1997
PubMed
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Histological examination of mesenteric vessels in intestinal tuberculosis revealed significant vascular changes. These alterations, including granulomas and thrombi, likely contribute to intestinal ischemia and complications like strictures and perforation.

Area of Science:

  • Gastroenterology
  • Vascular Pathology
  • Infectious Diseases

Background:

  • Mesenteric vessel involvement in intestinal tuberculosis (ITB) pathogenesis is poorly understood.
  • Histological data on vascular changes in ITB is lacking.

Purpose of the Study:

  • To investigate mesenteric vascular changes in patients with surgically managed complications of ITB.

Main Methods:

  • Histological examination of resected intestinal specimens from 68 ITB patients.
  • Evaluation focused on major mesenteric vessel involvement.

Main Results:

  • Granulomas observed in/near vessel walls (12 cases).
  • Intraluminal thrombi found in 23 cases.
  • Subintimal fibrosis (9 cases) and perivascular cuffing (10 cases) noted.

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Conclusions:

  • Mesenteric vascular changes are present in ITB complications.
  • These vascular alterations may cause gut ischemia, leading to strictures and perforation.