Ischemic colitis due to a dissecting aneurysm of the superior rectal artery

Ischemic injury to the bowel is a disease entity that has a wide spectrum of pathological and clinical findings. Patients with chronic ischemia present with colicky abdominal pain, obstructive symptoms and signs of ischemic colonic stricture. We reported the first case of ischemic colitis arising fr...

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Bibliographic Details
Published in:Techniques in coloproctology 2013-06, Vol.17 (3), p.331-333
Main Authors: Liu, H.-P., Chew, M.-H., Ho, K.-S., Tang, C.-L.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Aneurysm, Dissecting - complications
Aneurysm, Dissecting - diagnostic imaging
Aneurysm, Dissecting - surgery
Case Report
Chronic Disease
Colitis, Ischemic - diagnosis
Colitis, Ischemic - etiology
Colitis, Ischemic - surgery
Colon, Sigmoid - pathology
Colonoscopy
Colorectal Surgery
Constriction, Pathologic
Digestive System Surgical Procedures
Gastroenterology
Humans
Laparoscopy
Male
Medicine
Medicine & Public Health
Middle Aged
Proctology
Rectum - blood supply
Rectum - surgery
Surgery
Tomography, X-Ray Computed
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Summary:Ischemic injury to the bowel is a disease entity that has a wide spectrum of pathological and clinical findings. Patients with chronic ischemia present with colicky abdominal pain, obstructive symptoms and signs of ischemic colonic stricture. We reported the first case of ischemic colitis arising from a superior rectal artery (SRA) aneurysm. Colonoscopy showed non-resolving colitis complicated by sigmoid stricture. CT angiogram with 3D reconstruction showed a dissecting SRA aneurysm measuring 2 cm by 1.2 cm by 1.3 cm. The patient underwent laparoscopic-assisted low anterior resection, which was converted to open because of adhesions and made a full recovery.
ISSN:1123-6337
1128-045X
DOI:10.1007/s10151-011-0712-6