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Canadian Journal of Gastroenterology
Volume 3, Issue 1, Pages 29-33
Case Record

Transient Duodenal Erosions in Association with Superior Mesenteric Ischemia

D.G. MacIntosh and D.J. Leddin

Division of Gastroentrology, Health Sciences Centre, Memorial University, St John's, Newfoundland, Canada

Received 1 October 1988; Accepted 1 November 1988

Copyright © 1989 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A 41 -year-old male was seen with complaints of periumbilical pain and weight loss Physical examination, radiological and colonoscopic examinations were unremarkable upper endoscopy revealed aphthous ulcers of the antrum and duodenum at repeat endoscopy two weeks later the erosions had spontaneously healed. Mesenteric angiography revealed occlusion of the superior mesenteric artery and an aberrant right hepatic artery arising distal to the superior mesenteric stenosis A surgical revascularization procedure was performed at which time occlusion of the inferior mesenteric artery was documented. The patient is now 18 months post surgery and entirely asymptomatic.