Ischemic proctosigmoiditis: Report of a case
The case reported emphasizes the need for awareness of the possibility of ischemic proctocolitis in the patient of middle age or beyond, even when the ulcerative process is predominantly rectal and the clinical and radiographic findings are atypical. Ischemic proctocolitis may resemble ulcerative colitis radiographically, clinically, and sigmoidoscopically, especially in the early stages. A biopsy made early in the course of the disease which samples damaged mucosa should permit an easy distinction between the two processes. Farmanet al. 13 suggest that ischemic proctocolitis may be much more common than previously believed, particularly in the elderly, in whom underlying cardiovascular disease is common.
KeywordsUlcerative Colitis Ischemic Colitis Rectal Involvement Jersey Medical School Ulcerative Process
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- 1.Birnbaum W, Rudy L, Wylie J: Colonic and rectal ischemia following abdominal aneurysmectomy. Dis Colon Rectum 7: 29, 1964Google Scholar
- 2.Boley SJ, Schwartz SS: Colonic ischemia: Reversible ischemic lesions, Vascular Disorders of the Intestine. Edited by SJ Boley. New York, Appleton-Century-Crofts, 1971, p. 579Google Scholar
- 11.Farman J: The radiologic features of colonic vascular disease, Vascular Disorders of the Intestine. Edited by SJ Boley. New York, Appleton-Century-Crofts, 1971Google Scholar
- 13.Farman J, Rickert RR, Wright HG: Ulcerating colitis in the elderly. Personal communication (manuscript in preparation)Google Scholar
- 14.Goligher J, de Dombal F, Watts JMcK, et al: Ulcerative Colitis. Baltimore, Williams and Wilkins, 1968, p 95Google Scholar
- 20.Morson BC: Histopathology of intestinal ischaemia, Vascular Disorders of the Intestine. Edited by SJ Boley. New York, Appleton-Century-Crofts, 1971, p 103Google Scholar