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Stricture Ischemic Colitis M. Miyaji 1 1The First Department of Internal Medicine, Medical School, Nagoya City University pp.303-306
Published Date 1981/3/25
DOI https://doi.org/10.11477/mf.1403107982
  • Abstract
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 A 74 year-old woman was admitted to Nagoya Geriatric Hospital because of sudden lower abdominal pain. There was Blumberg's sign on the left frank, but the bowel sounds were not hyperactive. An abdominal plain film showed a dilated and deformed colon gas on the left upper quadrant.

 Gastrografin enema of the colon revealed thumb prints and pseudopolypoid changes in the splenic flexure area, suggesting ischemic colitis. Aortogram demonstrated sclerotic changes of the abdominal aorta and the complete occlusion of the inferior mesenteric artery. Selective angiogram of the superior mesenteric artery demonstrated a well-established collateral pathway between the middle colic artery and the right colic artery.

 From these findings, a diagnosis of ischemic colitis was made. Follow-up study by barium enema showed tubular narrowing, sacculation and multiple scars in the descending colon. Stricture ischemic colitis was finally diagnosed.


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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