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[Small bowel obstruction secondary to ischemic stenosis due to cholesterol crystal embolism].

Abstract
Cholesterol crystal embolization is a well-known disorder resulting from release of cholesterol crystals from ulcerous atherosclerotic plaques. Gastrointestinal involvement occurs in about a third of cases, but it is usually asymptomatic. We report a case of an old woman with small bowel obstruction secondary to atheromatous embolism. She was treated by acenocoumarol for atrial fibrillation and pulmonary embolism. Two weeks before admission for small bowel obstruction, she had a watery diarrhea. After 3 weeks of parenteral nutrition, she underwent resection of the involved ileum. Pathological examination showed a small bowel stricture secondary to atheromatous embolism. Cholesterol emboli should be considered as a potential cause of small bowel obstruction in old patient who has taken anticoagulant therapy or after vascular invasive procedure.
AuthorsS Nahon, C Dugue, F Adotti, S Manet, D Bouzard, T Tuszinski, B Lesgourgues, N Delas
JournalAnnales de medecine interne (Ann Med Interne (Paris)) Vol. 151 Issue 5 Pg. 417-20 (Sep 2000) ISSN: 0003-410X [Print] France
Vernacular TitleOcclusion du grêle secondaire à une sténose ischémique par embolie de cristaux de cholestérol.
PMID11033479 (Publication Type: Case Reports, English Abstract, Journal Article)
Chemical References
  • Anticoagulants
  • Acenocoumarol
Topics
  • Acenocoumarol (adverse effects)
  • Aged
  • Aged, 80 and over
  • Anticoagulants (adverse effects)
  • Arteriosclerosis (complications, pathology, surgery)
  • Atrial Fibrillation (complications, drug therapy)
  • Embolism, Cholesterol (complications, pathology, surgery)
  • Female
  • Humans
  • Intestinal Obstruction (etiology)
  • Intestine, Small (blood supply)
  • Ischemia (etiology)
  • Pulmonary Embolism (complications, drug therapy)

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