Resection and Stricturoplasty for Ischemic Enteritis: A Case Report

Takenori Hada, Shuzo Kohno, Yutaka Oda, Isao Kobayashi, Masahiro Ikegami^* and Yoji Yamazaki^**

Department of Surgery, Higashi-Utsunomiya National Hospital Department of Pathology^* and Surgery^**, The Jikei University School of Medicine

A 52-year-old man presented with epigastralgia in April 1998. Barium examination of the small intestine and colonoscopy revealed short and long segmental stenosis in the ileum. Surgery was performed, as conservative therapy was not effective. The surgical procedure employed was stricturoplasty for the short stenosis and resection for the long one. Macroscopic examination of the resected intestine revealed a tubular and concentric stenosis, annular and segmental ulcers and thickness of the wall. Microscopic examination revealed Ul-II ulcers with inflammatory cell infiltration, and fibrosis, mainly in the submucosal layer. The diagnosis of ischemic enteritis was made. Ischemic enteritis is a rare condition. Forty cases have been reported in the Japanese literature. Resection is the procedure of choice for ischemic enteritis. However, the successful treatment in this case suggests that stricturoplasty is an acceptable procedure for short segmental stenosis caused by ischemic enteritis.

Key words
ischemic enteritis, ischemic stenosis of the small intestine, stricturoplasty

Reprint requests
Takenori Hada Department of Surgery, Higashi-Utsunomiya National Hospital 2160 Shimookamoto, Kawachicho, Kawachigun, Tochigi, 329-1104 JAPAN

Accepted
July 25, 2000

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