Korean J Gastrointest Endosc.  2002 Jan;24(1):39-43.

A Case of Ischemic Colitis Associated with Colonic Carcinoma

• Ahn JH
• Song HS
• Suh JH
• Yun BI
• Baik GH
• Kim JB
• Chang WK
• Kim DJ
• Park CK

Abstract

The rare association of obstructing colorectal carcinoma and ischemic colitis in patients without an antecedent history of inflammatory bowel disease has been documented intermittently since the early 1960s after first case was described by Kremen in 1945. The etiology is not clear, but it is thought that sluggish mucosal blood flow and consequent ischemia occurs secondary to raised intraluminal pressure distally. The radiologic features are typically 'thumbprinting' appearence by the barium study, but maybe variable according to the stage of ischemic colitis. In many cases, radiologic features may be similar inflammatory bowel disease such as ulcerative colitis and may mask the presence of the predisposing carcinoma. Sigmoidoscopy or colonoscopy may detect irregular ulceration, mucosal friability, submucosal hemorrhage and bulging folds. The mucosa is usually covered by hemorrhagic and purulent exudate. We report a case of the ischemic colitis associated with sigmoid colon adenocarcinoma in 75-year- old man.

Keyword

Ischemic colitis; Colon carcinoma

MeSH Terms

Adenocarcinoma
Barium
Colitis, Ischemic*
Colitis, Ulcerative
Colon*
Colon, Sigmoid
Colonoscopy
Colorectal Neoplasms
Exudates and Transudates
Hemorrhage
Humans
Inflammatory Bowel Diseases
Ischemia
Masks
Mucous Membrane
Sigmoidoscopy
Ulcer
Barium