Ischemic colitis: Spectrum of disease and outcome

Scharff, James R.; Longo, Walter E.; Vartanian, Shant M.; Jacobs, Donald L.; Bahadursingh, Anil; Kaminski, Donald L.

doi:10.1016/s0039-6060(03)00308-8

Cited by 125 publications

(104 citation statements)

References 15 publications

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“…Associated co-morbidities that increase the risk of developing this condition include hypertension, chronic obstructive pulmonary disease, atrial fibrillation, congestive heart failure, and diabetes [2]. It is not clear whether males or females are more commonly affected as different studies report male [3], female [1], or equal gender predominance [4].…”

Section: Discussionmentioning

confidence: 99%

“…Gastrointestinal symptoms including anorexia, nausea, emesis, abdominal pain, diarrhea, and/or blood in the stool are common in endurance athletes during or following strenuous, prolonged physical activity [4][5][6][7]. In addition, several studies have demonstrated an increased incidence of occult gastrointestinal (GI) blood loss among athletes [8][9][10].…”

Section: Discussionmentioning

confidence: 99%

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Exercised-Induced Ischemic Colitis in a Recreational Athlete Previously Attributed to Inflammatory Bowel Disease

Lukela

2012

J Med Cases

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Ischemic colitis traditionally presents in older patients, many whom have underlying atherosclerotic disease. Although symptoms may be transient and resolve spontaneously, serious complications may develop including stricture formation, bowel perforation, sepsis, or death. Recently, otherwise healthy athletes have been reported to develop ischemic colitis during or following strenuous, prolonged exercise. Here we describe a unique case in which a recreational athlete previously diagnosed with Crohn's disease ten years prior presented with diarrhea and hematochezia attributed to an acute flare of her inflammatory bowel disease. Thorough review of her history, physical examination, laboratory, radiographic, and endoscopic evaluations revealed that her presenting symptoms were secondary to exercise-induced ischemic colitis. Moreover, her evaluation suggested that her prior diagnosis of Crohn's disease was incorrect and that her previous Crohn's flares were likely secondary to intermittent bouts of ischemic colitis. This case highlights the importance of recognizing the diagnosis of ischemic colitis in an atypical host, but one in which the disease prevalence is likely to increase as more individuals participate in recreational endurance activities.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Exercised-Induced Ischemic Colitis in a Recreational Athlete Previously Attributed to Inflammatory Bowel Disease

Lukela

2012

J Med Cases

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“…It may manifest with a wide spectrum of severity, ranging from mild, transient mucosal erosion to brous scarring with stricture formation and even transmural infarction. Some cases are caused by acute macrovascular mesenteric occlusion due to surgical trauma 6 , thromboembolism [7][8][9] , or atherosclerosis 10 . Ischemic colitis typically develops spontaneously without signs of major vascular occlusion, and healthy intestine is present elsewhere in the tract.…”

Section: Discussionmentioning

confidence: 99%

A Case of Ischemic Colonic Stenosis of the Splenic Flexure

Umemoto

Yokomizo

Shimada

et al. 2011

Showa Univ J Med Sci

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: Ischemic colitis is characterized by lesions arising from colonic ischemia. The treatment of choice is surgery, and resection of the affected segment is often life saving. This study presents a case of segmental ischemic colonic stenosis of the splenic flexure. A 70-year-old woman was admitted to our hospital with abdominal pain and distension. Physical examination revealed mild tenderness of the left-upper abdomen but no peritoneal signs. A computed tomography scan demonstrated a thickening of the splenic exure of the colon with active in ammation. A gastrogra n enema revealed a 5-cmlong tight stricture at the left transverse colon, which suggested a subileus. Surgery for segmental ischemic colonic stenosis was performed because the stricture did not respond to treatment. Pathological examination revealed features typical of ischemic colitis, including ulceration and segmental colonic stenosis of the splenic exure, but revealed no evidence of tumors, lymph node swelling, or vascular disorder.

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“…Despite treatment, the mortality rates of ischaemic colitis remain high [3]. Therefore, having a high index of suspicion, prompt recognition and goal-directed management are the principles of treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Ischaemic colitis is associated with a plethora of risk factors, including age >60 years and cardiovascular disease [2,3]. The presentation can vary and the condition is often missed or misdiagnosed.…”

Section: Introductionmentioning

confidence: 99%

Chronic Ischaemic Colitis in a 48 Year Old Man: An Unusual Presentation

Lau

Oommen

2011

Indian J Surg

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Ischaemic colitis typically presents with an acute abdominal pain and distension with bloody diarrhoea. However, this can vary and the condition is frequently missed or misdiagnosed, especially if the patient presents with chronic symptoms. Herein, we report a case of chronic presentation of ischaemic colitis in a 48-year-old man with a history of myocardial infarction. This report highlights the importance of having ischaemic colitis as a differential diagnosis whenever a patient with a history of arteriosclerosis presents with atypical chronic abdominal pain.

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Ischemic colitis: Spectrum of disease and outcome

Cited by 125 publications

References 15 publications

Exercised-Induced Ischemic Colitis in a Recreational Athlete Previously Attributed to Inflammatory Bowel Disease

Exercised-Induced Ischemic Colitis in a Recreational Athlete Previously Attributed to Inflammatory Bowel Disease

A Case of Ischemic Colonic Stenosis of the Splenic Flexure

Chronic Ischaemic Colitis in a 48 Year Old Man: An Unusual Presentation

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