Unexpected presentation of ischemic colitis: a case report and review of the literature.

Autor: Al-Mohannadi FS; Plastic Surgery Department, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar., Al Obahi M; Acute Care Surgery Department, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.; College of Medicine, QU Health, Qatar University, Doha, Qatar., Al-Hashimy Y; Acute Care Surgery Department, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar., Mahdi H; Acute Care Surgery Department, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar., Ahmed MB; Plastic Surgery Department, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.; College of Medicine, QU Health, Qatar University, Doha, Qatar.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2023 Jul 12; Vol. 2023 (7), pp. rjad418. Date of Electronic Publication: 2023 Jul 12 (Print Publication: 2023).
DOI: 10.1093/jscr/rjad418
Abstrakt: Ischemic colitis accounts for many cases of bowel infarction. Usually, it has various manifestations, such as vomiting, abdominal pain, hematochezia and many other symptoms. Risk factors might include age, medications, hypercoagulable state and chronic illnesses. However, it can still occur in healthy young patients. This might make it difficult for physicians to establish a correct diagnosis and generate the appropriate treatment plan for patients suffering from ischemic colitis. In this case we report a previously healthy 37-year-old female who had a sudden onset of lower abdominal pain associated with hematochezia. This patient was treated for upper respiratory tract infection by amoxicillin-clavulanate 2 weeks prior to her symptoms. The computed tomography abdomen findings along with the exploratory laparotomy confirmed the diagnosis of ischemic colitis. Ischemic colitis is a serious condition with high mortality and morbidity rate. Therefore, prompt investigation, and if indicated, surgical intervention should be calculated in sick patients complaining of abdominal pain and lower gastrointestinal bleeding.
Competing Interests: The authors have no conflict of interest to declare.
(Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023.)
Databáze: MEDLINE
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