Reversible ischaemic colitis in young adults

Abstract

Ischaemic colitis, while well recognized in older patients, is rare in patients under 30 years of age. Four such patients with transient ischaemic colitis are presented and the literature is reveiwed.

Evaluation of clinical features of ischemic colitis: Comparison between young and elderly

“…In comparison with the young, three cases of the stricture form were seen in the elderly group; these required surgery to remove the narrow segment of colon. Previous reports have described that while ischemic colitis in elderly patients frequently developed into the stricture form, most of the young patients revealed the reversible transient form 22,34 . Our results are completely compatible with previous reports.…”

Transient ischaemic colitis following an aeroplane flight: two case reports and review of the literature

“…13 However, the literature describes 50 cases of ischaemic colitis in otherwise "healthy" patients aged less than 50 years of age. [2][3][4][5][6][7][8][9] In these individuals the condition is usually associated with complete recovery of the colon, in both structure and function, within one to two weeks. This essentially benign disorder is termed transient ischaemic colitis.…”

“…13 Fifty cases of transient ischaemic colitis have been reported in patients aged 16-48 years over the last 30 years. [2][3][4][5][6][7][8][9] Thirty seven (74%) of the cases were women and 13 (26%) were men. Typical symptoms reported are colicky abdominal pain, vomiting, and rectal bleeding.…”

“…1 At least 50 further cases have subsequently been reported in the literature with as yet no common aetiological factors elicited. [2][3][4][5][6][7][8][9][10] This report documents two extensively investigated cases with no obvious precipitant except for a preceding aeroplane flight.…”

Acute colorectal ischaemia after anaphylactoid shock.

“…It remains, however, extremely uncommon under the age of 30. 23 We describe a patient aged 29 years with no sign of cardiovascular disease who developed rectal and colonic ischaemia as a result of hypotension from anaphylactoid shock. Case report A 29 year old housewife ate a cheddar cheese sandwich before going to bed.…”