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Spontaneous Cholesterol Embolism Leading to Small Bowel Obstruction and Perforation

A spontaneous occurrence of cholesterol embolization syndrome causing small bowel obstruction and perforation is a highly scarce event. In this article, we report a case of spontaneous cholesterol embolism resulting in small bowel obstruction and perforation in a 52-year-old male with multiple cardi...

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Detalles Bibliográficos
Autores principales: Mahtani, Arun Umesh, Tahir, Muhammad Khalid, Padda, Inderbir, Haider, Muhammad, Ebrahimi, Farhang, Otterbeck, Philip, Nfonoyim, Jay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10157106/
https://www.ncbi.nlm.nih.gov/pubmed/37153475
http://dx.doi.org/10.1016/j.jaccas.2023.101780
Descripción
Sumario:A spontaneous occurrence of cholesterol embolization syndrome causing small bowel obstruction and perforation is a highly scarce event. In this article, we report a case of spontaneous cholesterol embolism resulting in small bowel obstruction and perforation in a 52-year-old male with multiple cardiovascular and medical comorbidities. In our patient, the source was an eccentric left lateral atherosclerotic plaque from the abdominal aorta that was identified using computed tomography. A distal occlusion in numerous small intestinal arteries due to cholesterol embolism was confirmed on biopsy after surgical resection. (Level of Difficulty: Intermediate.)