[A case of relapsed ischemic colitis with colon cast-like stripped mucosa].
An 82-year-old woman who had 5 relapses of ischemic colitis was admitted with sudden lower abdominal pain. Colonoscopic examination performed on the 2nd day revealed colon cast-like stripped colonic mucosa in the lower portion of the descending colon. She was treated conservatively. After 2 weeks, ischemic colitis healed, with slight residual stenosis. Most reports of colon cast indicated that colon cast was caused by abdominal aneurysm, operation, or external wound. The only predisposing conditions in this case were arteriosclerosis of abdominal aorta and chronic constipation. Arteriosclerosis and chronic constipation might be the important risk factors of ischemic colitis with colon cast and relapsing of ischemic colitis.
Eriguchi
Yoshihiro
Y
Department of Internal Medicine, Saga Medical School.
Tsunada
Seiji
S
Amemori
Sadahiro
S
Watanabe
Kenichiro
K
Fujise
Takehiro
T
Kikkawa
Atsushi
A
Ootani
Hibiki
H
Ootani
Akifumi
A
Sakata
Hiroyuki
H
Iwakiri
Ryuichi
R
Mizuguchi
Masanobu
M
Fujimoto
Kazuma
K
D000369:Aged, 80 and over; D017091:Colitis, Ischemic / Q000473:pathology*; D003113:Colonoscopy; D005260:Female; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology*; D012008:Recurrence