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A Case of Transient Ischemic Colitis T. Morimoto 1 , Y. Hamada 1 , M. Odawara 1 , M. Watanabe 1 , T. Takemoto 1 1The First Department of Internal Medicine, School of Medicine, Yamaguchi University pp.645-648
Published Date 1979/5/25
DOI https://doi.org/10.11477/mf.1403107673
  • Abstract
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 A 56-years-old man, who had been pointed out to have hypertension since ten years ago, but had not been treated, was admitted to Hikari City Hospital because of sudden mucous diarrhea. Stools had been mixed with copious fresh blood for four days after the onset. Abdominal discomfort was also accompanied.

 On physical examination, the blood pressure was 206/108 mmHg. There was slight tenderness on the epigastrium, but the bowel sounds were not hyperactive. A sigmoidoscopic examination did not reveal any abnormal finding. Barium enema showed serration and thumbprinting from the ascending to the half of the transverse colon with loss of haustral pattern and contraction of the lumen. Colonofiberscopic examination showed multiple irregular shallow ulcers, and the surrounding mucoua with redness and swelling. Cecum was normal. Histological examination revealed dilated capillary blood vessels and submucosal hemorrhage without haemosiderin-laden macrophages. Stools were negative for tubercle bacilli on four successive occasions. Symptomatic treatment for a diagnosis of ischemic colitis improved melena rapidly, and occult blood also became negative. Several ulcer scars and slight deformity were seen by barium enema on the 34 th hospital day. Endoscopic examination also showed several ulcer scars and mucosal redness.


Copyright © 1979, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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