A Case of Non-occlusive Ischemic Colitis of the Right Colon after Percutaneous Coronary Intervention.
- Author:
Sung Ryoun LIM
1
;
Hyun Soo KIM
;
Ho Seong RYU
;
Jun Ho CHO
;
Seon Young PARK
;
Young Eun JOO
;
Sung Kyu CHOI
;
Jong Sun REW
Author Information
1. Department of Internal Medicine, Chonnam National University College of Medicine, Gwangju, Korea. dshskim@jnu.ac.kr
- Publication Type:Case Report
- Keywords:
Ischemic colitis;
Right colon;
Percutaneous coronary intervention
- MeSH:
Angina, Unstable;
Aortic Valve;
Arrhythmias, Cardiac;
Cardiac Output, Low;
Cardiovascular Diseases;
Colitis;
Colitis, Ischemic;
Colon;
Colon, Descending;
Colon, Sigmoid;
Colon, Transverse;
Dehydration;
Early Diagnosis;
Heart Defects, Congenital;
Heart Diseases;
Heart Failure;
Heart Valve Diseases;
Myocardial Infarction;
Percutaneous Coronary Intervention
- From:Korean Journal of Gastrointestinal Endoscopy
2010;40(2):130-134
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Ischemic colitis is the most common form of gastrointestinal ischemic injury. Indeed, many medical conditions and medications can cause reduced blood flow to the colon. The splenic flexure, descending colon, and sigmoid colon are most commonly affected. Involvement of only the right colon is an infrequent occurrence. Ischemic colitis of the right colon usually is associated with low flow states. Given the high morbidity and mortality of this disorder, early diagnosis and aggressive management is critical. Ischemic colitis associated with heart disease, such as congestive heart failure, myocardial infarction, arrhythmias, aortic valve disease, and atherosclerotic cardiovascular disease, is usually due to low cardiac output, or to disease states resulting in dehydration, or to the splanchnic vasoconstrictive effect of some medications. Here we present a case of nonocclusive ischemic colitis of the right colon after percutaneous coronary intervention for unstable angina. The colitis was successfully treated with conservative management.
