Korean J Gastrointest Endosc > Volume 40(2); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;40(2): 130-134.
경피적 관상동맥 중재술 후 발생한 우측 대장의 비폐쇄성 허혈성 대장염 1예
임성륜ㆍ김현수ㆍ류호성ㆍ조준호ㆍ박선영ㆍ주영은ㆍ최성규ㆍ류종선
전남대학교 의과대학 내과학교실
A Case of Non-occlusive Ischemic Colitis of the Right Colon after Percutaneous Coronary Intervention
Sung Ryoun Lim, M.D., Hyun Soo Kim, M.D., Ho Seong Ryu, M.D., Jun Ho Cho, M.D., Seon Young Park, M.D., Young Eun Joo, M.D., Sung Kyu Choi, M.D. and Jong Sun Rew, M.D.
Department of Internal Medicine, Chonnam National University College of Medicine, Gwangju, Korea
Abstract
Ischemic colitis is the most common form of gastrointestinal ischemic injury. Indeed, many medical conditions and medications can cause reduced blood flow to the colon. The splenic flexure, descending colon, and sigmoid colon are most commonly affected. Involvement of only the right colon is an infrequent occurrence. Ischemic colitis of the right colon usually is associated with low flow states. Given the high morbidity and mortality of this disorder, early diagnosis and aggressive management is critical. Ischemic colitis associated with heart disease, such as congestive heart failure, myocardial infarction, arrhythmias, aortic valve disease, and atherosclerotic cardiovascular disease, is usually due to low cardiac output, or to disease states resulting in dehydration, or to the splanchnic vasoconstrictive effect of some medications. Here we present a case of nonocclusive ischemic colitis of the right colon after percutaneous coronary intervention for unstable angina. The colitis was successfully treated with conservative management. (Korean J Gastrointest Endosc 2010;40:130-134)
Key Words: Ischemic colitis, Right colon, Percutaneous coronary intervention
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