Chronic ischemic colitis mimicking Crohn's disease: A case report

Ming Hsi Wang

Research output: Contribution to journalArticle

Abstract

Ischemic colitis can present a wide spectrum of severity; most patients are mild to moderate in clinical course and can be treated supportively and expected to recover fully, while a minority with severe ischemia may develop long term complication such as stricture or chronic ischemic colitis. Chronic ischemic colitis may lead to chronic ulcerations in segments of colon and separated by normal-appearing mucosa, mimicking Crohn's disease. Here we present a case of 59-year-old female who has multiple comorbid presented with progressive abdominal pain associated with diarrhea and rectal bleeding. Colonoscopy showed severely inflamed severe stricture at the hepatic flexure. Right hemicolectomy was performed and surgical pathology confirmed chronic ischemic colitis. Raising awareness of this disease entity and having a high index of suspicion, especially in the setting of elder patients presenting with abdominal pain, rectal bleeding, and existence of comorbid status is crucial to establish an early diagnosis.

Original languageEnglish (US)
Pages (from-to)298-303
Number of pages6
JournalJournal of Internal Medicine of Taiwan
Volume28
Issue number5
DOIs
StatePublished - Oct 1 2017

Fingerprint

Ischemic Colitis
Crohn Disease
Abdominal Pain
Pathologic Constriction
Hemorrhage
Surgical Pathology
Colonoscopy
Early Diagnosis
Diarrhea
Colon
Mucous Membrane
Ischemia
Liver

Keywords

  • Crohn's disease
  • Ischemic colitis

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Chronic ischemic colitis mimicking Crohn's disease : A case report. / Wang, Ming Hsi.

In: Journal of Internal Medicine of Taiwan, Vol. 28, No. 5, 01.10.2017, p. 298-303.

Research output: Contribution to journalArticle

@article{0a607ecae50148afac34cd3549f297cb,
title = "Chronic ischemic colitis mimicking Crohn's disease: A case report",
abstract = "Ischemic colitis can present a wide spectrum of severity; most patients are mild to moderate in clinical course and can be treated supportively and expected to recover fully, while a minority with severe ischemia may develop long term complication such as stricture or chronic ischemic colitis. Chronic ischemic colitis may lead to chronic ulcerations in segments of colon and separated by normal-appearing mucosa, mimicking Crohn's disease. Here we present a case of 59-year-old female who has multiple comorbid presented with progressive abdominal pain associated with diarrhea and rectal bleeding. Colonoscopy showed severely inflamed severe stricture at the hepatic flexure. Right hemicolectomy was performed and surgical pathology confirmed chronic ischemic colitis. Raising awareness of this disease entity and having a high index of suspicion, especially in the setting of elder patients presenting with abdominal pain, rectal bleeding, and existence of comorbid status is crucial to establish an early diagnosis.",
keywords = "Crohn's disease, Ischemic colitis",
author = "Wang, {Ming Hsi}",
year = "2017",
month = "10",
day = "1",
doi = "10.6314/JIMT.2017.28(5).05",
language = "English (US)",
volume = "28",
pages = "298--303",
journal = "Journal of Internal Medicine of Taiwan",
issn = "1016-7390",
publisher = "Society of Internal Medicine of Taiwan",
number = "5",

}

TY - JOUR

T1 - Chronic ischemic colitis mimicking Crohn's disease

T2 - A case report

AU - Wang, Ming Hsi

PY - 2017/10/1

Y1 - 2017/10/1

N2 - Ischemic colitis can present a wide spectrum of severity; most patients are mild to moderate in clinical course and can be treated supportively and expected to recover fully, while a minority with severe ischemia may develop long term complication such as stricture or chronic ischemic colitis. Chronic ischemic colitis may lead to chronic ulcerations in segments of colon and separated by normal-appearing mucosa, mimicking Crohn's disease. Here we present a case of 59-year-old female who has multiple comorbid presented with progressive abdominal pain associated with diarrhea and rectal bleeding. Colonoscopy showed severely inflamed severe stricture at the hepatic flexure. Right hemicolectomy was performed and surgical pathology confirmed chronic ischemic colitis. Raising awareness of this disease entity and having a high index of suspicion, especially in the setting of elder patients presenting with abdominal pain, rectal bleeding, and existence of comorbid status is crucial to establish an early diagnosis.

AB - Ischemic colitis can present a wide spectrum of severity; most patients are mild to moderate in clinical course and can be treated supportively and expected to recover fully, while a minority with severe ischemia may develop long term complication such as stricture or chronic ischemic colitis. Chronic ischemic colitis may lead to chronic ulcerations in segments of colon and separated by normal-appearing mucosa, mimicking Crohn's disease. Here we present a case of 59-year-old female who has multiple comorbid presented with progressive abdominal pain associated with diarrhea and rectal bleeding. Colonoscopy showed severely inflamed severe stricture at the hepatic flexure. Right hemicolectomy was performed and surgical pathology confirmed chronic ischemic colitis. Raising awareness of this disease entity and having a high index of suspicion, especially in the setting of elder patients presenting with abdominal pain, rectal bleeding, and existence of comorbid status is crucial to establish an early diagnosis.

KW - Crohn's disease

KW - Ischemic colitis

UR - http://www.scopus.com/inward/record.url?scp=85038560616&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85038560616&partnerID=8YFLogxK

U2 - 10.6314/JIMT.2017.28(5).05

DO - 10.6314/JIMT.2017.28(5).05

M3 - Article

AN - SCOPUS:85038560616

VL - 28

SP - 298

EP - 303

JO - Journal of Internal Medicine of Taiwan

JF - Journal of Internal Medicine of Taiwan

SN - 1016-7390

IS - 5

ER -