A Case of Ischemic Colitis with Deep Vein Thrombosis and Patent Foramen Ovale.
- Author:
Sang Hoon LEE
1
;
Hyo Jong KIM
;
Mi Na PARK
;
Nam Hoon KIM
;
Yong Hee JUNG
;
Geun Woo IHM
;
Yo Sep HAN
;
Heung Sun KANG
;
Byoung Ho KIM
;
Young Woon CHANG
;
Jung Il LEE
;
Rin CHANG
Author Information
1. Department of Internal Medicine, Kyunghee University College of Medicine, Seoul, Korea. hjkim@khmc.or.kr
- Publication Type:Case Report
- Keywords:
Ischemic colitis;
Patent foramen ovale;
Deep vein thrombosis
- MeSH:
Aged;
Cerebral Infarction;
Colitis, Ischemic*;
Colon;
Colonoscopy;
Dihydroergotamine;
Echocardiography;
Echocardiography, Transesophageal;
Embolism;
Female;
Foramen Ovale, Patent*;
Hemorrhage;
Humans;
Ischemia;
Popliteal Vein;
Rectum;
Ulcer;
Vena Cava, Inferior;
Venous Thrombosis*
- From:Korean Journal of Gastrointestinal Endoscopy
2004;28(4):208-212
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Colonic ischemia is the most prevalent form of gastrointestinal ischemia and causes 3~9% of all acute lower intestinal bleeding. Most common cause is known to be cardiac embolus. A 67-year-old female patient presented with rectal bleeding. The patient had cerebral infarction 15 days ago. A colonoscopy showed a large ulcer with hemorrhage in the rectum. Computed tomography showed deep vein thrombosis from the left popliteal vein to infrarenal inferior vena cava. Transthoracic echocardiography was carried out, but no abnormal feature was found. Then, transesophageal echocardiography, with agitated saline contrast to find out a right to left shunt, was performed, patent foramen ovale was found. This patient was treated with anticoagulation and inferior vena cava filtering. We suggest this ischemic colitis may be due to arterial embolization from deep vein thrombosis through PFO.
