Korean J Gastrointest Endosc.
1999 Jun;19(3):463-468.
A Case of Transient Ischemic Colitis Complicated by Colonic Stricture
- Affiliations
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- 1Department of Internal Medicine, Sung-Ae General Hospital, Seoul, Korea.
- 2Department of Internal Medicine, Kwangmyung Sung-Ae General Hospital, Kwangmyung, Korea.
Abstract
- Transient ischemic colitis comprises a clinical triad of lower abdominal pain, diarrhea and rectal bleeding of sudden onset, with rapid clearance of symptoms on a non-specific management regimen. The peak age incidence of ischemic colitis is in the sixth and seventh decades, as would be expected due to progressive arterial occlusion and falling cardiac function with increasing age. In this report, transient ischemic colitis was diagnosed on the basis of colonoscopic and associated histopathological findings. Colonoscopy is a useful technique in establishing the diagnosis of transient ischemic colitis. Conservative management includes repeated careful assessment, pain management and fluid replacement. Complications are rare and the prognosis is excellent. Occasionally, patients have recurrences. We report a case of transient ischemic colitis complicated by stricture formation with review of literatures.
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