Korean Journal of Gastrointestinal Endoscopy 1999;19(3): 463-468.
일과성 허혈성 대장염에서 합병증으로 대장협착을 보인 1 예 ( A Case of Transient Ischemic Colitis Complicated by Colonic Stricture )
박정식, 장석, 이창영, 정병곤, 김지겸, 백영권, 이향주, 김호정, 최대섭, 천대철, 김종숙 (Jung Sik Park, Suk Jang, Chang Young Lee, Byung Gon Jung, Ji Gyeom Kim, Young Kweon Paek, Hyang Ju Lee, Ho Jung Kim, Dae Sup Choi, Dae Chul Chun and Jong Suk Kim)
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. (Korean J Gastrointest Endosc 19: 463∼468, 1999)
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