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Transient Ischemic Colitis with Angiographic Findings of the Early Venous Filling T. Katsumata 1 , S. Matama 1 , H. Okabe 1 , J. Shimao 2 , T. Takahashi 2 , S. Kusano 3 1Department of Internal Medicine, School of Medicine, Kitasato University 2Department of Surgery, School of Medicine, Kitasato University 3Department of Radiology, School of Medicine, Kitasato University pp.287-290
Published Date 1981/3/25
DOI https://doi.org/10.11477/mf.1403107979
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 This is a case of a 61 year-old female, who had been pointed out to have hypertension fifteen years ago. She was admitted to Kitasato University Hospital on January 9, 1979, with four-day history of cramped abdominal pain associated with frequent bloody diarrhea and vomiting. On physical examination, she was febrile (37.5℃) and there was tenderness in the epigastrium and lower abdomen with no guarding. Rectal examination confirmed the presence of bloody stool. Hemoglobin was 11.6g/100ml, leukocyte count was 6,400, T. P. was 5.5g/100ml and CRP was one positive. ECG showed old inferior myocardial infarction.

 Barium enema, performed at the 4th day after onset, showed loss of distension and bamboo knot appearance at left side of the transverse colon. Selective angiogram of the inferior mesenteric artery did not reveal stenosis nor occulusion of the marginal artery as well as vasa recta, but early venous filling was clearly demonstrated.

 From these findings, she was diagnosed ischemic colitis and treated with intravenous hyperalimentation. Subjective and objective improvements were obtained after the several hospital days.

 We had performed selective mesentric angiography in five cases of ischemic colitis, and recognized the findings of the early venous filling in three cases, in which two cases of ulcerative form of ischemic colitis were included.


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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