Jurnalul de Chirurgie
ISSN: 1584 - 9341
Vol.1 Nr.2 - aprilie - iunie 2005
 
     ENGLISH

  :

NUMARUL 2, VOL. 1, 2005

CAZURI CLINICE - CASE STUDIES

ISCHEMIC COLITIS. CASE REPORT
C. Lupascu, D. Andronic, Gabriela Canschi
First Surgical Clinic, „St. Spiridon” Hospital Iasi
University of Medicine and Pharmacy Iasi
Jurnalul de chirurgie 2005; 1 (2):200-202
Full text: Format PDF (Romanian)

Abstract:

Background. Ischemic colitis is very rare in our country; there are difficulties in diagnosis and surgical treatment, and the late diagnosis in advanced cases causes a high rate of fatalities.

Case. A 73-year old woman presented with melena, diffuse abdominal pain, nausea and vomiting. Laboratory evaluation revealed a WBC of 20,900/mm3, glicaemia of 194mg/dl, without other abnormalities. Plain abdominal radiography and abdominal ultrasound were normal.

Emergency exploratory laparotomy revealed a rubbery hard colon, without the normal aspect of haustrations, feeling like a parenchimatous organ, from the left colic angle to the recto-sigmoid jonction.

The dissection of the origin of the inferior mezenteric artery proved its complete thrombosis. We performed a left colectomy with terminal colostomy on the transverse colon.

Postoperative course was uneventful. Nine months after the first operation, we restored the continuity of the digestive tract by a colo-rectal anastomosis, without any problems.

KEYWORDS: ISCHEMIC COLITIS

Correspondence: Dr. Cristian Lupascu, Clinica I Chirurgie, Spitalul „Sf. Spiridon” Iasi, Bd. Independentei nr. 1, 700111, Iasi