The American journal of gastroenterology
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Am. J. Gastroenterol. · Dec 1998
Case ReportsArterial thrombosis leading to intestinal infarction in a patient with Behçet's disease associated with protein C deficiency.
Behçet's disease may be a possible cause of both occlusive and aneurysmal arterial involvement as well as recurrent venous thrombosis. A case of Behçet's disease complicated with vascular involvement leading to intestinal infarction is presented. A 41-yr-old man suffering from Behçet's disease for 15 yr presented with a 2-day history of severe abdominal pain and bloody diarrhea. ⋯ A thrombus located in the posterior wall of the infrarenal portion of aorta was detected by aortography and ultrasonography. Although thrombosis is a relatively common complication of Behçet's disease caused by vasculitis, protein C deficiency, which is a pertinent laboratory finding in this case, might be a secondary factor in the thrombotic event. This is the first case reported of mesenteric artery thrombosis leading to bowel infarction and abdominal aorta thrombosis associated with protein C deficiency.
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Am. J. Gastroenterol. · Dec 1998
Case ReportsSolitary rectal ulcer induced by excessive use of analgesic suppositories containing paracetamol, caffeine, and codeine.
We report the case of a 53-yr-old woman who developed an ulcer of the distal rectum with mild stenosis after prolonged use of suppositories containing paracetamol, caffeine, and codeine. After undergoing extensive diagnostic tests with exclusion of other possible causes, she admitted to the abuse of the suppositories. ⋯ There was no significant residual stenosis. This case is compared to cases described in the past 30 years.