Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
Diarrhoea caused by a stenosis of the coeliac artery: suggestive for mesenteric steal
1 Erasmus MC - University Medical Center, Gastroenterology and Hepatology, Gravendijkwal 230, Rotterdam, 3015 CE, Netherlands
2 Erasmus MC - University Medical Center, Intervention Radiology, Gravendijkwal 230, Rotterdam, 3015 CE, Netherlands
3 Erasmus MC - University Medical Center, Vascular Surgery, Gravendijkwal 230, Rotterdam, 3015 CE, Netherlands
4 Erasmus MC University Medical Center, PO Box 2040, Rotterdam, 3000CA, Netherlands
Correspondence to:
Désirée van Noord, d.vannoord{at}erasmusmc.nl
The classical triad of postprandial pain, weight loss and an abdominal bruit is thought to be the most common presentation of chronic gastrointestinal ischaemia. We describe a patient with severe diarrhoea as an uncommon presenting symptom of small bowel ischaemia, suggesting a mesenteric steal phenomenon due to a significant atherosclerotic coeliac artery stenosis. The stenosis and concomitant steal effect was successfully treated by stent placement. The latter is supported by the patient’s uneventful course after stent placement. This case illustrates that chronic gastrointestinal ischaemia has to be considered in patients with otherwise unexplained diarrhoea.
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
- Full Text
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in this journal
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full text of all Editor's Choice articles and summaries of every article are free without registration
The full text of Images in ... articles are free to registered users
Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource
Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog
