A Case of Segmental Ischemic Colitis Associated with Nonsteroidal Antiinflammatory Drugs.
- Author:
Hong Gi KIM
1
;
Sung Hwan PARK
;
Dong Hoon KO
;
Wook KIM
;
Young Sil KIM
;
Chul Soo CHO
;
Ho Youn KIM
Author Information
1. Department of Internal Medicine, The Catholic University of Korea, College of Medicine, Korea.
- Publication Type:Case Report
- Keywords:
Ischemic Colitis;
Nonsteroidal Antiinflammatory Drugs
- MeSH:
Adult;
Anniversaries and Special Events;
Cardiac Output, Low;
Colitis, Ischemic*;
Colon;
Dehydration;
Gout;
Heart Diseases;
Heart Failure;
Humans;
Ischemia;
Vasoconstriction
- From:The Journal of the Korean Rheumatism Association
1999;6(4):329-334
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute colonic ischemia is the most common form of gastrointestinal ischemia. The majority of cases of non-occlusive ischemic colitis are associated with severe congestive heart failure with low cardiac output, or disease states resulting in dehydration, or the splanchnic vasoconstrictive effect of some dedications. Reactive splanchnic vasoconstriction is responsible for nonocclusive ischemic colitis. The authors report a case of 37-year-old man, who had a history of 8-year gout and no evidence of heart disease or severe dehydration and developed segmental ischemic colitis during nonsteroidal antinflammatory drug treatment, which ultimitely progressed to transmural infacrction, therby undergone extended right hemicolectomy