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