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July 25, 1977

Transverse Colon Thromboangiitis Obliterans of the

JAMA. 1977;238(4):336-337. doi:10.1001/jama.1977.03280040056023

THROMBOANGIITIS obliterans (TAO) is a rare occlusive vascular disease first described by Buerger in 1908.1 Later, Buerger noted that vascular obliteration could include mesenteric vessels as well. Nevertheless, gastrointestinal involvement remains largely unknown; for instance, no mention was made of abdominal manifestations of Buerger's disease in a recent symposium.2 Since Buerger's description of mesenteric involvement (1924), only three cases describing involvement of the colon have been added.3,4 We present an additional case of TAO involving the colon, emphasizing involvement of the mesenteric circulation in Buerger's disease.

Report of a Case  A 45-year-old man was admitted to St Luke's Episcopal Hospital (Houston) because of constant left upper quadrant abdominal pain. He also had intermittent claudication on walking and anorexia, with a 14-kg weight loss during the previous year. He had smoked two packages of cigarettes daily for 30 years.Physical examination showed cachexia and left upper quadrant abdominal