Chonnam Med J.  2007 Dec;43(3):216-219.

A Case of Ischemic Colitis after Percutaneous Coronary Intervention

• Yang HS
• Kim HD
• Kim SH
• Kim DH
• Moon SW
• Jung JH
• Oh YS
• Park H
• Kim DH
• Jo JH

Abstract

The ischemic colitis is a vascular disease, either occlusive or non-occlusive related to the reduced mesenteric blood circulation caused by several etiologies. A recent study reported that 0.13% of patients hospitalized with myocardial infarction had ischemic colitis and that it has a very high mortality nearing 50%. They present with a dramatically lower mean arterial pressure because of heart failure and a higher frequency of hypotension. We however, have recently experienced a case of coronary artery disease complicated with ischemic colitis accompanying no hemodynamic changes. We suppose the cause of the case may be reversible mesenteric arterial occlusion from microemboli or reactive splanchnic vasoconstriction. With increasing incidence of coronary arterial diseases, more attention on the ischemic colitis should be warrented.

Keyword

Ischemic colitis, Coronary artery angiography

MeSH Terms

Arterial Pressure
Blood Circulation
Colitis, Ischemic*
Coronary Artery Disease
Heart Failure
Hemodynamics
Humans
Hypotension
Incidence
Mortality
Myocardial Infarction
Percutaneous Coronary Intervention*
Vascular Diseases
Vasoconstriction