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January 1973

Cholesterol Embolization to the Cecum With Bowel Infarction

Author Affiliations

Bronx, NY
From the Department of Surgery, Montefiore-Morrisania Affiliate, Montefiore Hospital and Medical Center, and the Albert Einstein College of Medicine, Bronx, NY.

Arch Surg. 1973;106(1):94-96. doi:10.1001/archsurg.1973.01350130092021

Cecal gangrene due to sequential cholesterol emboli occurred. The patient described demonstrated several other reported clinical manifestations of cholesterol embolization, ie, hypertension, renal failure, and gastrointestinal hemorrhage.

An isolated occurrence of cholesterol embolization may pathologically result in congestion of villi, mucosal petechiae or infarcts, minute hemorrhage and hemorrhagic erosions within the gastrointestinal tract. However, the sequential occurrence of emboli over a prolonged period of time can eventually compromise the circulation to a segment of the gastrointestinal tract causing ischemic necrosis.