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Ischemic proctosigmoiditis: Report of a case

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Diseases of the Colon & Rectum

Summary

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.

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References

  1. Birnbaum W, Rudy L, Wylie J: Colonic and rectal ischemia following abdominal aneurysmectomy. Dis Colon Rectum 7: 29, 1964

    Google 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. 579

    Google Scholar 

  3. Boley SJ, Schwartz S, Lask J, et al.: Reversible vascular occlusion of the colon. Surg Gynec Obstet 116: 53, 1963

    PubMed  CAS  Google Scholar 

  4. Brock DR, Suckow EE: Obliterative arteriolar-sclerosis of the colon with focal mucosal necrosis. Gastroenterology 44: 190, 1963

    PubMed  CAS  Google Scholar 

  5. Byrd BF, Sawyers JL, Bomar RL et al: Reversible vascular occlusion of the colon: Recognition and management. Ann Surg 167: 901, 1968

    Article  PubMed  Google Scholar 

  6. Carter R, Vannix R, Hinshaw DB, et al.: Acute inferior mesenteric vascular occlusion, a surgical syndrome. Am J Surg 98: 271, 1959

    Article  PubMed  CAS  Google Scholar 

  7. Carter R, Vannix R, Hinshaw DB, et al.: Inferior mesenteric vascular occlusion: Sigmoidoscopic diagnosis. Surgery 46: 845, 1959

    PubMed  CAS  Google Scholar 

  8. Dawson MA, Schaefer JW: The clinical course of reversible ischemic colitis: Observations on the progression of sigmoidoscopic and histologic changes. Gastroenterology 60: 577, 1971

    PubMed  CAS  Google Scholar 

  9. Engelhardt JE, Jacobson G: Infarction of the colon, demonstrated by barium enema. Radiology 67: 573, 1956

    PubMed  CAS  Google Scholar 

  10. Farman J: Vascular lesions of the colon. Br J Radiol 39: 575, 1966

    Article  PubMed  CAS  Google 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, 1971

    Google Scholar 

  12. Farman J, Betancourt E, Kilpatrick ZM: The radiology of ischemic proctitis. Radiology 91: 302, 1968

    PubMed  CAS  Google Scholar 

  13. Farman J, Rickert RR, Wright HG: Ulcerating colitis in the elderly. Personal communication (manuscript in preparation)

  14. Goligher J, de Dombal F, Watts JMcK, et al: Ulcerative Colitis. Baltimore, Williams and Wilkins, 1968, p 95

    Google Scholar 

  15. Kilpatrick ZM, Farman J, Yesner R, et al: Ischemic proctitis. JAMA 205: 74, 1968

    Article  PubMed  CAS  Google Scholar 

  16. Littman L, Boley SJ, Schwartz S: Sigmoidoscopic diagnosis of reversible vascular occlusion of the colon. Dis Colon Rectum 6: 142, 1963

    PubMed  CAS  Google Scholar 

  17. Marshak RH, Lindner AE: Ischemia of the colon. Semin Roentgenol 3: 81, 1968

    Article  Google Scholar 

  18. Marston A, Pheils MT, Thomas ML, et al: Ischaemic colitis. Gut 7: 1, 1966

    PubMed  CAS  Google Scholar 

  19. Montessori G, Liepa EV: Ischemic colitis. Can Med Assoc J 102: 377, 1970

    PubMed  CAS  Google Scholar 

  20. Morson BC: Histopathology of intestinal ischaemia, Vascular Disorders of the Intestine. Edited by SJ Boley. New York, Appleton-Century-Crofts, 1971, p 103

    Google Scholar 

  21. Schwartz S, Boley S, Lash J, et al Roentgenologic aspects of reversible vascular occlusion of the colon and its relationship to ulcerative colitis. Radiology 80:625, 1963

    PubMed  CAS  Google Scholar 

  22. Schwartz S, Boley S, Robinson K, et al: Roentgenologic features of vascular disorders of the intestines. Radiol Clin North Am 2: 71, 1964

    PubMed  CAS  Google Scholar 

  23. Smith R, Szilagyi D: Ischemia of the colon as a complication in the surgery of the abdominal aorta. Arch Surg 80: 806, 1960

    PubMed  CAS  Google Scholar 

  24. Sternlieb I: Brock-Suckow polyposis of the colon (obliterative arteriolarsclerosis of the colon?). Gastroenterology 46: 193, 1964

    PubMed  CAS  Google Scholar 

  25. Young JR, Britton RC, deWolfe VG et al: Intestinal ischemic necrosis following abdominal aortic surgery. Surg Gynecol Obstet 115: 615, 1962

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, College of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, New Jersey

    Won Sik Cynn M.D. & Robert R. Rickert M.D.

  2. Department of Pathology, New Jersey Medical School, 65 Bergen Street, 07107, Newark, New Jersey

    Won Sik Cynn M.D. & Robert R. Rickert M.D.

  3. Harrison S. Martland Hospital, Newark, New Jersey

    Won Sik Cynn M.D. & Robert R. Rickert M.D.

Authors
  1. Won Sik Cynn M.D.
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  2. Robert R. Rickert M.D.
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Cynn, W.S., Rickert, R.R. Ischemic proctosigmoiditis: Report of a case. Dis Colon Rectum 16, 537–541 (1973). https://doi.org/10.1007/BF02588886

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  • DOI: https://doi.org/10.1007/BF02588886

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