In this case report we describe a case of meseriental thrombangitis obliterans in a 39-year-old, previously healthy female smoker. She was referred to hospital because of abdominal pains, nausea and diarrhoea. All tests where normal. One year later the patient was admitted due to fever and acute abdominal pain. Initial diagnostic laparoscopy was normal. The patient deteriorated and laparotomy was performed. Inflammation and gangrene was found in the small intestine. The pathological examination of the resected specimen determined that the diagnosis was mesenterial thrombangitis obliterans.

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