A case of duodenitis considered to be ischemic change

Hirahata, Koichi; Fujinuma, Sumio; Kakemura, Tadayoshi; Suda, Hiroaki; Sato, Koichiro; Tominaga, Kenji; Nemoto, Yukako; Ito, Sayo; Saigusa, Yoshinori; Maetani, Iruru

doi:10.11641/pde.70.2_94

Cited by 2 publications

(3 citation statements)

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“…In all cases, the patients were over 60 years old and were suffering from several atheromatous diseases [2, 3, 4, 5, 6, 7]. As for treatment, conservative therapy was effective with ‘transient’ ischemic cases.…”

Section: Discussionmentioning

confidence: 99%

“…Ischemic duodenitis caused by splanchnic arterial insufficiency is very rare because of the rich collateral blood supply of the duodenum. This disease is only observed when at least two of three main splanchnic arteries are occluded or severely stenosed with severe atheromatous disease [ 1 , 2 , 3 , 4 , 5 , 6 , 7 ]. The duodenal blood supply arises mainly from the SMA via pancreaticoduodenal collaterals.…”

Section: Discussionmentioning

confidence: 99%

“…There were six previously published case reports of ischemic duodenitis, referring to MEDLINE (from 2000 to 2010) and Igaku Chuo Zasshi (from 2000 to 2010), as shown in table 2 . In all cases, the patients were over 60 years old and were suffering from several atheromatous diseases [ 2 , 3 , 4 , 5 , 6 , 7 ]. As for treatment, conservative therapy was effective with ‘transient’ ischemic cases.…”

Section: Discussionmentioning

confidence: 99%

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A Case of Ischemic Duodenitis Associated with Superior Mesenteric Artery Syndrome Caused by an Abdominal Aortic Aneurysm

Okuyama

Kawakami

Ito³

et al. 2011

Case Rep Gastroenterol

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A 74-year-old woman was admitted to our hospital with upper abdominal pain and bloody vomiting. An abdominal aneurysm compressed the third portion of the duodenum and the second portion of duodenum was distended with thickened walls as in superior mesenteric artery syndrome. Endoscopic examination showed an edematous mucosa with hemorrhagic erosions, shallow longitudinal ulcers, and star-shaped ulcers in the duodenum. We diagnosed this case as ischemic duodenitis associated with superior mesenteric artery syndrome caused by compression by an abdominal aortic aneurysm. The symptoms improved on treatment with bowel rest, total parenteral nutrition and administration of a proton pump inhibitor. We present here a rare case of ischemic duodenitis and summarize the previous medical literature on the disease.

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Section: Discussionmentioning

confidence: 99%