A Case of Ischemic Jejunitis with Localized Stenosis

Minoru Yagi, Yukio Takano, Shinei Kudo, Tadashi Nakamura, Osamu Sato, Tetsuya Tada, Youichi Ajioka*

Department of Surgery, Akita Red Cross Hospital
*The First Department of Pathology, Niigata University School of Medicine

A relatively rare case of ischemic jejunitis with stenosis is reported. A 69-year-old man was referred to our hospital with epigastric pain and vomiting. Laboratory data showed a high level of serum amylase. His condition improved with conservative therapy. But 8 weeks after his remission, he complained of vomiting. A small intestinal roentgenogram showed stenosis of the jejunum, but superior mesenterial arteriography revealed neither stenosis nor obstruction. Laparotomy revealed jejunal stenosis of about 40 cm on the anal side, about 60 cm distant from Treitz's ligament. Histopathological findings indicated ischemic enteritis. The stenosis was considered to be caused by impaired microcirculation of the jujunum due to diabetes mellitus and atrial fibrillation.

Key words
stricture type of the ischemic jejunitis

Reprint requests
Minoru Yagi Deparment Pediatric Surgery, Niigata University Hospital
1 Asahimachidori, Niigata, 951 JAPAN

Accepted
June 13, 1990

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