Ischaemic colitis mimicking inflammatory bowel disease in a young adult receiving oral anticoagulation.
Ischaemic colitis (IC) is the most frequent form of gastrointestinal ischaemia. Discrepancy between non-specific symptoms and objective findings is a hallmark of IC. Thus delay of diagnosis is common due to its often subtle and unpredictable presentation. In particular, the clinical symptoms and signs of IC can overlap with those of inflammatory bowel disease. We present a case of a young man with known factor-V-Leiden mutation in whom IC developed during effective therapy with oral anticoagulants, presenting with symptoms and endoscopic findings suggestive of inflammatory bowel disease.
Willeke
Peter
P
Department of Medicine B, Muenster University Hospital, Germany. willeke.peter@uni-muenster.de
Domagk
Dirk
D
Floer
Martin
M
Brüwer
Matthias
M
Kreuter
Michael
M
Gaubitz
Markus
M
Domschke
Wolfram
W
Kucharzik
Torsten
T
D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D000284:Administration, Oral; D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use*; D025861:Blood Coagulation Disorders, Inherited / Q000175:diagnosis / Q000188:drug therapy*; D017091:Colitis, Ischemic / Q000175:diagnosis* / Q000628:therapy; D003113:Colonoscopy; D003937:Diagnosis, Differential; D005165:Factor V / Q000032:analysis* / Q000235:genetics; D005500:Follow-Up Studies; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D018570:Risk Assessment; D012720:Severity of Illness Index
D000925:Anticoagulants; D005165:Factor V