Ischemic colitis masquerading as colonic tumor: case report with review of literature.
Ischemic colitis can mimic a carcinoma on computed tomographic (CT) imaging or endoscopic examination. A coexisting colonic carcinoma or another potentially obstructing lesion has also been described in 20% of the cases of ischemic colitis. CT scan can differentiate it from colon cancer in 75% of cases. However, colonoscopy is the preferred method for diagnosing ischemic colitis as it allows for direct visualization with tissue sampling. Varied presentations of ischemic colitis have been described as an ulcerated or submucosal mass or as a narrowed segment of colon with ulcerated mucosa on colonoscopy. Awareness and early recognition of such varied presentations of a common condition is necessary to differentiate from a colonic carcinoma, and to avoid unnecessary surgery and related complications.
Internal Medicine, University of Chicago (North Shore University Health System), 2650 Ridge Avenue, Evanston, IL 60201, United States.
Parakkal
P
Deepak
Radha
R
Devi
D000369:Aged, 80 and over; D000925:Anticoagulants / Q000009:adverse effects; D001706:Biopsy; D017091:Colitis, Ischemic / Q000000981:diagnostic imaging* / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D003106:Colon / Q000000981:diagnostic imaging / Q000187:drug effects / Q000473:pathology / Q000601:surgery; D003110:Colonic Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology*; D003937:Diagnosis, Differential; D006493:Heparin / Q000009:adverse effects; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed
D000925:Anticoagulants; D006493:Heparin