Internal medicine (Tokyo, Japan) · 2018
Atypical Clinical Presentation of Crohn's Disease with Superior Mesenteric Vein Obstruction and Protein-losing Enteropathy.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Ito Suguru, Higashiyama Masaaki, Horiuchi Kazuki, Mizoguchi Akinori, Soga Shigeyoshi, Tanemoto Rina, Nishii Shin, Terada Hisato, Wada Akinori, Sugihara Nao, Hanawa Yoshinori, Furuhashi Hirotaka, Takajo Takeshi, Shirakabe Kazuhiko, Watanabe Chikako, Komoto Shunsuke, Tomita Kengo, Nagao Shigeaki, Shinozaki Masami, Nakagawa Akihiko, Kubota Michio, Miyagishima Daisuke, Gotoh Nobuaki, Miura Soichiro, Ueno Hideki, Hokari Ryota
Аннотация
We herein report a 44-year-old man suffering from systemic edema due to protein-losing enteropathy (PLE) with superior mesenteric vein (SMV) obstruction and development of collateral veins, which subsequently proved to be a chronic result of thrombosis and a complication of Crohn's disease (CD). PLE was supposedly induced by both intestinal erosion and thrombosis-related lymphangiectasia, which was histologically proven in his surgically-resected ileal stenosis. Elemental diet and anti-TNFα agent improved his hypoalbuminemia after surgery. The rarity of the simultaneous coexistence of SMV obstruction and PLE and the precedence of these complications over typical abdominal symptoms of CD made the clinical course complex.