Multiple Spontaneous Small Bowel Perforations due to Systemic Cholesterol Atheromatous Embolism

Atsuko FUJIYAMA; Yasukiyo MORI; Satoshi YAMAMOTO; Osamu IBA; Hirohiko KURIHARA; Hiroya MASAKI; Toshinaga YONEMOTO; Toshiko NAGATA; Yukihisa UMEDA; Ryoji YASUMIZU; Susumu IKEHARA; Mitsuo INADA; Hiroaki MATSUBARA; Toshiji IWASAKA

doi:10.2169/internalmedicine.38.580

Atsuko FUJIYAMA, Yasukiyo MORI, Satoshi YAMAMOTO, Osamu IBA, Hirohiko KURIHARA, Hiroya MASAKI, Toshinaga YONEMOTO, Toshiko NAGATA, Yukihisa UMEDA, Ryoji YASUMIZU, Susumu IKEHARA, Mitsuo INADA, Hiroaki MATSUBARA, Toshiji IWASAKA

Author information

Atsuko FUJIYAMA
The Second Department of Internal Medicine, Kansai Medical University
Yasukiyo MORI
The Second Department of Internal Medicine, Kansai Medical University
Satoshi YAMAMOTO
The Second Department of Internal Medicine, Kansai Medical University
Osamu IBA
The Second Department of Internal Medicine, Kansai Medical University
Hirohiko KURIHARA
The Second Department of Internal Medicine, Kansai Medical University
Hiroya MASAKI
The Second Department of Internal Medicine, Kansai Medical University
Toshinaga YONEMOTO
The Second Department of Internal Medicine, Kansai Medical University
Toshiko NAGATA
The Second Department of Internal Medicine, Kansai Medical University
Yukihisa UMEDA
The Second Department of Internal Medicine, Kansai Medical University
Ryoji YASUMIZU
The First Department of Pathology, Kansai Medical University
Susumu IKEHARA
The First Department of Pathology, Kansai Medical University
Mitsuo INADA
The Second Department of Internal Medicine, Kansai Medical University
Hiroaki MATSUBARA
The Second Department of Internal Medicine, Kansai Medical University
Toshiji IWASAKA
The Second Department of Internal Medicine, Kansai Medical University

Keywords: atherosclerosis, smoking, hypertension, angiography, renal failure, jejunal perforation

JOURNAL FREE ACCESS

1999 Volume 38 Issue 7 Pages 580-584

DOI https://doi.org/10.2169/internalmedicine.38.580

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Abstract

A-65-year-old man was admitted for coronary and peripheral angiography to evaluate angina pectoris and peripheral vascular disease. Following angiography, he suffered from blue toes, livedo reticularis and progressive renal failure. The patient's condition continued to deteriorate, including the development of malnutrition. Four months later he suddenly developed panperitonitis, went into shock and died. The autopsy verified multiple perforations of the small bowel with disseminated cholesterol atheromatous embolism. The other organs including kidney were also invaded by atheroembolism. This was a rare case of multiple spontaneous perforations of small bowel due to systemic cholesterol atheromatous embolism.
(Internal Medicine 38: 580-584, 1999)

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