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Ischemic Colitis S. Kodaira 1 , T. Teramoto 1 , M. Ikoma 1 , S. Ii 1 , K. Kotake 1 , K. Kumakura 2 , Y. Sugino 2 1Department of Surgery, School of Medicine, Keio University 2Department of Diagnostic Radiology, School of Medicine, Keio University pp.279-282
Published Date 1981/3/25
DOI https://doi.org/10.11477/mf.1403107977
  • Abstract
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 A case of transient ischemic colitis is reported in which the diagnosis was made within 24 hours of the onset of symptoms with endoscopic and barium enema examination.

 A 70 year-old woman was admitted to Keio University Hospital on 28th December, 1979, complaining of abdominal pain and bloody stool of 12 hours' duration.

 On examination there was no physical sign except localized tenderness in the left lower abdomen. Instant fiberoptic colonoscopy on admission showed edematous mucosa with submucosal hemorrhage and multiple erosions in the distal portion of the descending colon, but appearance of rectal mucosa was normal. Barium enema examination, performed two days later, showed a ragged area with obvious ‘thumb printing' in the descending colon.

 Abdominal pain and bloody stool had gone within five days with intensive conservative treatment.

 Second barium enema performed 15 days later showed marked improvement and revealed only few healing ulcers with converging folds. Following colonoscopic examination revealed mucosal redness and a few small ulcers with converging folds. Selective mesenteric angiography performed 18 days after the onset showed no abnormal findings.

 She was discharged without any complaint and has remained well.

 We emphasize that early diagnosis of ischemic colitis is important in relation to the subsequent management of the patient.


Copyright © 1981, 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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