Ischemic Colitis: Surging Waves of Update

Stamatakos, Michael; Douzinas, Emmanuel E.; Stefanaki, Charikleia; Petropoulou, Constantina; Arampatzi, Helen; Safioleas, Constantinos; Giannopoulos, George; Chatziconstantinou, Constantinos; Xiromeritis, Constantinos; Safioleas, Michael

doi:10.1620/tjem.218.83

Cited by 42 publications

(28 citation statements)

References 64 publications

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“…Ischemic colitis is the most common manifestation of gastrointestinal ischemia and the spectrum of diseases varies from transient self-limited ischemia to fulminant ischemia or transmural infarction [17,18]. CT features reported are bowel wall thickening, thumbprinting and pericolonic stranding with or without peritoneal fluid [19]. Abdominal CT with angiography in a case of ischemic enteritis with chronic renal failure showed diffuse segmental wall thickening and decreased perfusion of long segment of ileum with decreased enhancement of vessels that supply the distal ileum [20].…”

Section: Discussionmentioning

confidence: 99%

Anticoagulant-induced intramural hematoma of the jejunum

Brar

Kaur

Doley

et al. 2011

Clin J Gastroenterol

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Section: Discussionmentioning

confidence: 99%

Anticoagulant-induced intramural hematoma of the jejunum

Brar

Kaur

Doley

et al. 2011

Clin J Gastroenterol

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“…The main clinical manifestations include abdominal pain, diarrhea, and hematochezia (5). A reliable diagnosis of IC depends on the comprehensive evaluation of clinical symptoms, biochemical tests, radiological examinations, and endoscopic assessments (6). In certain cases, PV may cause mesenteric vascular thrombosis, which can lead to ischemic bowel disease, although uncommon.…”

Section: Introductionmentioning

confidence: 99%

Ischemic colitis caused by polycythemia vera: A case report and literature review

et al. 2018

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Abstract. Polycythemia vera (PV) is a chronic myeloproliferative disorder originating from hematopoietic stem cells and complicated by thrombosis and bleeding. This report describes a case of ischemic colitis (IC) caused by PV and includes a review of the relevant literature. The patient was a 59-year-old male with a history of PV who presented with abdominal pain and hematochezia. Colonoscopy and histopathological examination results indicated suspected ischemic bowel disease. Following experimental anticoagulant therapy for 7 days, the patient no longer experienced abdominal pain and hematochezia had resolved. Colonoscopy review showed no obvious anomalies 1 month later. These data demonstrated that PV is an uncommon cause of IC.

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“…Intestinal ischemia is primarily an age-related disease (>65 years) caused by the presence of atheromatous lesions in the mesenteric arteries [3]. A recent study carried out on an elderly population in the United States [4] identified the presence of significant stenosis of the superior mesenteric artery or celiac tripod, which was asymptomatic in 17.5% of subjects, with a higher prevalence of isolated stenosis of the celiac tripod.…”

Section: Introductionmentioning

confidence: 99%

Color Duplex evaluation of the mesenteric artery

Catalini

Alborino

Giovagnoli

et al. 2010

Journal of Ultrasound

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KEYWORDSMesenteric artery; Color Doppler US; Percutaneous transluminal angioplasty.Abstract Ischemic colitis is the most common form of intestinal ischemia. Diagnosis is made at clinical examination and endoscopy and completed by vascular imaging, but color Doppler US may become a first-line imaging technique for the evaluation of the mesenteric circulation.We present the case of an 80-year-old woman hospitalized for recurrent ischemic colitis of the sigmoid. At a previous hospitalization, color Doppler US examination showed medium to severe stenosis at the origin of the inferior mesenteric artery. However, CT angiography was negative and the condition was therefore misdiagnosed. Eight months later the patient was admitted again with abdominal pain and rectal hemorrhage. Rectosigmoidoscopy documented the presence of ischemia of the sigmoid mucosa. Angiography showed the presence of severe stenosis at the origin of the inferior mesenteric artery so revascularization was carried out by percutaneous transluminal angioplasty (PTA) during the same session. Follow-up showed normal patency of the inferior mesenteric artery after revascularization, and subsequent endoscopic evaluation documented gradual colonic mucosal ischemia resolution. Blood flow at the level of the inferior mesenteric artery was assessed using color Doppler US. The presented case confirms that color Doppler US is a valid first-line imaging technique in the assessment of ischemic intestinal lesions. It is reliable in the evaluation of the mesenteric arterial circulation, and it also allows assessment of blood flow alterations caused by stenosis and identification of localized hemodynamic stenosis which may be missed at CT-angiography or MRangiography. Arteriography remains the examination of choice in case of discrepancy between first-and second-line imaging techniques and in all cases which offer the possibility of endovascular revascularization.Sommario La colite ischemica è la forma più frequente di ischemia intestinale. La diagnosi è clinica ed endoscopica ed è completata dall'imaging vascolare. Lo studio Eco-Color Doppler può rappresentare la metodica d'imaging di primo livello nella valutazione del circolo mesenterico.Presentiamo il caso di una donna di 80 anni ricoverata per recidiva di colite ischemica del sigma. Dopo un primo ricovero con Eco-Color Doppler che evidenziava stenosi medio-elevata all'origine della arteria mesenterica inferiore, ma Angio-TC negativa e diagnosi finale misconosciuta, la paziente presentava insorgenza di dolore addominale e rettoragia e veniva effettuato un nuovo ricovero ospedaliero. La rettosigmoidoscopia documentava la presenza di ischemia della mucosa del sigma. Veniva quindi effettuato uno studio angiografico che evidenziava la presenza di stenosi critica dell'arteria mesenterica inferiore all'origine e si procedeva nella stessa seduta a rivascolarizzazione mediante angioplastica percutanea transluminale. I successivi controlli evidenziavano normale pervietà dell'arteria mesenterica inferiore dopo rivascolari...

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Ischemic Colitis: Surging Waves of Update

Cited by 42 publications

References 64 publications

Anticoagulant-induced intramural hematoma of the jejunum

Anticoagulant-induced intramural hematoma of the jejunum

Ischemic colitis caused by polycythemia vera: A case report and literature review

Color Duplex evaluation of the mesenteric artery

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