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- Lower Extremity Arterial Occlusive Disease As a Rare Complication of Crohn’s Disease??《CMSJ》
- 作者:吴巍巍|发布时间:2010-06-14|浏览量:674次
Wei-wei Wu1, Xue-ying Jiang2, Chang-wei Liu1*, Yong-jun Li1 and Rong Zeng1
Chinese Medical Science Journal
Objective To investigate the clinical characteristics and treatment strategy of lower extremity arterial occlusive disease in patients with Crohn’s disease (CD). 北京协和医院血管外科中心吴巍巍
Methods Clinical information of 9 cases suffering from lower extremity arterial occlusion and CD was investigated retrospectively.
Results All the cases were less than 50 years old and the most were female (8/9). Arterial occlusions occurred in either active (5/9) or inactive (4/9) stage of CD. Besides the arteries of lower extremities, other arteries could also be involved such as aorta, iliac artery, renal artery or mesentery artery. Seven cases had atherosclerotic imaging findings (4 had aortic plaques and 6 had iliac artery stenoses). Embolectomy or thromboendarterectomy were mostly performed. Four cases (44.4%) had recurrent lower limb ischemia.
Conclusions Arterial occlusive disease is a rare extraintestinal manifestation of CD. A thorough inspection of aorta is necessary. Embolectomy is mostly preferred. Anticoagulation treatment is highly recommended after the operation.
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