A Case of Gangrenous Ischemic Colitis Associated with Rectal Carcinoma.
- Author:
Dae Soon YIM
;
Myung Rae LEE
;
Kwang Hyub HAN
;
Sang In LEE
;
Jin Kyung KANG
;
In Suh PARK
;
Heung Jai CHOI
;
Myung Wook KIM
;
Woo Ick YANG
- Publication Type:Original Article
- MeSH:
Abdominal Pain;
Anastomotic Leak;
Colitis, Ischemic*;
Colonic Neoplasms;
Diagnosis;
Diarrhea;
Fistula;
Humans;
Male;
Middle Aged;
Peritonitis;
Rectal Neoplasms
- From:Korean Journal of Gastrointestinal Endoscopy
1990;10(1):89-93
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The ischemic coitis proximal to obstructive colon cancer was firstly reported by MacCallum and Kaisch in 1947. Nowsdays, its clinical importance and the study of pathogenesis is reported frequently. Because of the rare inciedence of this complicated condition this lesion could be overlooked which then could result anastomotic leakage, fecal fistula and peritonitis. Recently, we have examined a 61 year-old Korean male patient who had the complaints of acute abdominal pain and bloody diarrhea. The diagnosis of gangrenous ischemic colitis associated with obstucting rectal cancer was confirmed on the basis of sigmoidoscopic and operative and associated histopathological findings. After prompt surgical intervention, the patient was discharged with good improvement. The literatures are reviewed here with the case presentation.
