We describe a case of small bowel obstruction secondary to cholesterol crystal embolism in a 83-year-old man. Clinical symptoms were dominated by weight loss and vomiting. Small bowel baryum X-ray displayed a short and unique stricture of the jejunum. Atheromatous embolism was suspected in the presence of an aortic anevrysm. At laparotomy, a 2 cm stricture of jejunum was identified and a 6 cm length segment of small bowel was resected. Pathological features were consistent with cholesterol crystal embolism. The patient did well 3 months after surgery. This observation points out the nonspecific clinical presentation of gastrointestinal cholesterol embolism.
|Translated title of the contribution||Cholesterol embolism: An unusual cause of small bowel obstruction|
|Number of pages||3|
|Journal||Gastroenterologie Clinique et Biologique|
|State||Published - Feb 2000|
- Cholesterol emboli
- Small bowel