Korean J Gastrointest Endosc.  1990 May;10(1):89-93.

A Case of Gangrenous Ischemic Colitis Associated with Rectal Carcinoma

• Yim DS
• Lee MR
• Han KH
• Lee SI
• Kang JK
• Park IS
• Choi HJ
• Kim MW
• Yang WI

Abstract

The ischemic coitis proximal to obstructive colon cancer was firstly reported by MacCallum and Kaisch in 1947. Nowsdays, its clinical importance and the study of pathogenesis is reported frequently. Because of the rare inciedence of this complicated condition this lesion could be overlooked which then could result anastomotic leakage, fecal fistula and peritonitis. Recently, we have examined a 61 year-old Korean male patient who had the complaints of acute abdominal pain and bloody diarrhea. The diagnosis of gangrenous ischemic colitis associated with obstucting rectal cancer was confirmed on the basis of sigmoidoscopic and operative and associated histopathological findings. After prompt surgical intervention, the patient was discharged with good improvement. The literatures are reviewed here with the case presentation.

MeSH Terms

Abdominal Pain
Anastomotic Leak
Colitis, Ischemic*
Colonic Neoplasms
Diagnosis
Diarrhea
Fistula
Humans
Male
Middle Aged
Peritonitis
Rectal Neoplasms