Intestinal Thromboangiitis Obliterans (Buerger’s Disease): a Case Report

Buerger’s disease is an unknown etiology, inflammatory vaso-occlusive, and non-arteriosclerotic vascular disease. It affects medium- or small-sized arteries and veins; uncommonly it involves in vesical vessels. A 43-year-old man, previously diagnosed with Buerger’s disease for 25 years, presented with acute abdomen. Urgent laparotomy was done, and a perforated jejunal ulcer and peritonitis were detected. The patient had to undergo recurrent laparotomy for mesenteric ischemia. A case of intestinal manifestation of the disease with superior mesenteric vessels occlusion represents unexpected manifestation of the disease. Early diagnosis is the key for true clinical management and good willing prognosis.