Lower Extremity Arterial Occlusive Disease As a Rare Complication of Crohn’s Disease

Wei-wei Wu1; Xue-ying Jiang2; Chang-wei Liu1; Yong-jun Li1; and Rong Zeng1 1Department of Vascular Surgery; Peking Union Medical College Hospital; Chinese Academy of Medical Sciences & Peking Union Medical College; Beijing 100730; China 2Department of Anesthesiology; Beijing Tongren Hospital Affiliated to Capital Medical University; Beijing 100005; China

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Lower Extremity Arterial Occlusive Disease As a Rare Complication of Crohn’s Disease

中国医学科学杂志（英文版） 2009年24卷第3期页码：167-171

Updated：2024-04-10

- Lower Extremity Arterial Occlusive Disease As a Rare Complication of Crohn’s Disease
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  中图分类号： R543;R574.62
- 纸质出版日期：2009
- Accepted：
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[1].Lower Extremity Arterial Occlusive Disease As a Rare Complication of Crohn’s Disease[J].Chinese Medical Sciences Journal,2009,24(03):167-171.

Wei-wei Wu1, Xue-ying Jiang2, Chang-wei Liu1, et al. Lower Extremity Arterial Occlusive Disease As a Rare Complication of Crohn’s Disease[J]. Chinese medical sciences journal, 2009, 24(3): 167-171.
[1].Lower Extremity Arterial Occlusive Disease As a Rare Complication of Crohn’s Disease[J].Chinese Medical Sciences Journal,2009,24(03):167-171. DOI：

Wei-wei Wu1, Xue-ying Jiang2, Chang-wei Liu1, et al. Lower Extremity Arterial Occlusive Disease As a Rare Complication of Crohn’s Disease[J]. Chinese medical sciences journal, 2009, 24(3): 167-171. DOI：

摘要

Objective To investigate the clinical characteristics and treatment strategy of lower extremity arterial occlusive disease in patients with Crohn’s disease （CD）. Methods Clinical information of 9 cases suffering from lower extremity arterial occlusion and CD was investigated retrospectively. Results All the cases were less than 50 years old and the most were females （8/9）. Arterial occlusions occurred in either active （5/9） or inactive （4/9） stage of CD. Besides the arteries of lower extremities

other arteries could also be involved such as aorta

iliac artery

renal artery or mesentery artery. Seven cases had atherosclerotic imaging findings （4 had aortic plaques and 6 had iliac artery stenoses）. Embolectomy or thromboendarterectomy were mostly performed. Four （44.4%） cases had recurrent lower limb ischemia. Conclusions Arterial occlusive disease is a rare extraintestinal manifestation of CD. A thorough inspection of aorta is necessary. Embolectomy is mostly preferred. Anticoagulation treatment is highly recommended after the operation.

Abstract

other arteries could also be involved such as aorta

iliac artery

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