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Mesenteric vasculitis associated with Sézary syndrome.
  1. R D Ellis,
  2. C H Smith,
  3. J R Goodlad,
  4. N P Smith,
  5. R P Thompson
  1. Gastrointestinal Laboratory, Rayne Institute, St Thomas' Hospital, London.


    A 71 year old lady with Sézary syndrome presented with chronic diarrhoea and cramping abdominal pains. A small bowel meal x ray examination showed two mid-ileal strictures. At laparotomy the small intestine was found to be sub-acutely obstructed and resection of a 15 cm ileal stricture and stricturoplasty of a second, 10 cm stricture were performed. Histological examination of the stricture revealed a mesenteric vasculitis with secondary ischaemic changes in the small bowel wall. Mesenteric vasculitis causing small bowel stricture may be associated with Sézary syndrome.

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