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Ischemic Colitis Following Colonoscopy in a Systemic Lupus Erythematosus Patient: Report of a Case

  • Case Report
  • Published:
Diseases of the Colon & Rectum

BACKGROUND

Ischemic colitis is an uncommon complication in patients with systemic lupus erythematosus but may be precipitated by colonoscopy.

CASE REPORT

A 43-year-old female with systemic lupus erythematosus under treatment with immunosuppressive drugs and prednisone was submitted to colonoscopy because of a change in bowel habit. Apart from the presence of a small metaplastic polyp, colonoscopy showed only a few erythematosus areas in the sigma and left colon. Four hours after colonoscopy, the patient developed lower colic abdominal pain and mucous diarrhea followed by rectal bleeding from ischemic colitis. The patient was successfully treated with fluids, spasmolytic drugs, sodic heparin, antibiotics and enteral feeding.

CONCLUSIONS

Awareness of the risk of this potential complication, secondary to colonoscopy, in patients with connective tissue disorders may lead to a prompt diagnosis and effective treatment, with a successful outcome.

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REFERENCES

  1. CC Mok CS Lau (2003) ArticleTitlePathogenesis of systemic lupus erythematosus J Clin Pathol 56 481–90 Occurrence Handle10.1136/jcp.56.7.481 Occurrence Handle1:STN:280:DC%2BD3szgslCjuw%3D%3D Occurrence Handle12835292

    Article  CAS  PubMed  Google Scholar 

  2. J Fondacaro K Walus M Schwaiger E Jacobson (1981) ArticleTitleVasodilatation of the normal and ischemic canine mesenteric circulation Gastroenterology 80 1542–9 Occurrence Handle1:CAS:528:DyaL3MXktFyktLc%3D Occurrence Handle7014352

    CAS  PubMed  Google Scholar 

  3. RD Lafsky (2000) ArticleTitleColonoscopy in ischemic enterocolitis Gastrointest Endosc 52 310–1 Occurrence Handle1:STN:280:DC%2BD3cvlslyltA%3D%3D Occurrence Handle10922124

    CAS  PubMed  Google Scholar 

  4. I Ozeki T Abe H Sakai et al. (1998) ArticleTitleA case of systemic lupus erythematosus developed with intestinal perforation Ryumachi 38 523–8 Occurrence Handle1:STN:280:DyaK1czovVCmtQ%3D%3D Occurrence Handle9721561

    CAS  PubMed  Google Scholar 

  5. JM Church (1995) ArticleTitleIschemic colitis complicating flexible endoscopy in a patient with connective tissue disease Gastrointest Endosc 41 181–2 Occurrence Handle1:STN:280:DyaK2M3jslGgtg%3D%3D Occurrence Handle7721019

    CAS  PubMed  Google Scholar 

  6. E Rice JK DiBaise EM Quigley (1999) ArticleTitleSuperior mesenteric artery thrombosis after colonoscopy Gastrointest Endosc 50 706–7 Occurrence Handle1:STN:280:DC%2BD3c%2FgslyisQ%3D%3D Occurrence Handle10536335

    CAS  PubMed  Google Scholar 

  7. P Reissman EG Weiss TA Teoh FV Lucas SD Wexner (1994) ArticleTitleGangrenous ischemic colitis of the rectum: a rare complication of systemic lupus erythematosus Am J Gastroenterol 89 2234–6 Occurrence Handle1:STN:280:DyaK2M%2Fmslyntg%3D%3D Occurrence Handle7977248

    CAS  PubMed  Google Scholar 

  8. MS Ho LB Teh HS Goh (1987) ArticleTitleIschaemic colitis in systemic lupus erythematosus. Report of a case and review of the literature Ann Acad Med Singapore 16 501–3 Occurrence Handle1:STN:280:DyaL1c7jt1Cruw%3D%3D Occurrence Handle3324922

    CAS  PubMed  Google Scholar 

  9. NM Wheeldon MJ Grundman (1990) ArticleTitleIschaemic colitis as a complication of colonoscopy BMJ 301 1080–1 Occurrence Handle1:STN:280:DyaK3M%2FmsVGisA%3D%3D Occurrence Handle2249072 Occurrence Handle10.1136/bmj.301.6760.1080

    Article  CAS  PubMed  Google Scholar 

  10. FR Zwas NW Cirillo HB el-Serag RN Eisen (1996) ArticleTitleColonic mucosal abnormalities associated with oral sodium phosphate solution Gastrointest Endosc 43 463–6 Occurrence Handle1:STN:280:DyaK28zis1yktA%3D%3D Occurrence Handle8726758

    CAS  PubMed  Google Scholar 

  11. KA Ludwig EJ Quebbeman JM Bergstein JR Wallace DH Wittmann C Aprahamian (1995) ArticleTitleShock-associated right colon ischemia and necrosis J Trauma 39 1171–4 Occurrence Handle1:STN:280:DyaK287gslarsg%3D%3D Occurrence Handle7500415 Occurrence Handle10.1097/00005373-199512000-00029

    Article  CAS  PubMed  Google Scholar 

  12. A Attar H Becheur T Gilbert F Bloch JP Petite (1998) ArticleTitleHemorrhagic colitis and hemolytic uremic syndrome caused by Escherichia coli O157:H7 Ann Med Int 149 288–90 Occurrence Handle1:STN:280:DyaK1M%2FgslOktw%3D%3D

    CAS  Google Scholar 

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Authors and Affiliations

  1. Emergency Surgery Unit, University of Messina, Messina, Italy

    Antonino Versaci M.D., Antonio Macrì M.D., Giuseppe Scuderi M.D. & Ciro Famulari M.D.

  2. Department of Internal Medicine, University of Messina, Messina, Italy

    Sebastiano Bartolone M.D.

  3. Department of Clinical and Experimental Medicine and Pharmacology, University of Messina, Messina, Italy

    Luigi Familiari M.D.

  4. Department of Radiology and Interventional Radiology, University of Perugia, Perugia, Italy

    Tommaso Lupattelli M.D.

Authors
  1. Antonino Versaci M.D.
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  2. Antonio Macrì M.D.
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  3. Giuseppe Scuderi M.D.
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  4. Sebastiano Bartolone M.D.
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  5. Luigi Familiari M.D.
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  6. Tommaso Lupattelli M.D.
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  7. Ciro Famulari M.D.
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Corresponding author

Correspondence to Antonio Macrì M.D..

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Versaci, A., Macrì, A., Scuderi, G. et al. Ischemic Colitis Following Colonoscopy in a Systemic Lupus Erythematosus Patient: Report of a Case. Dis Colon Rectum 48, 866–869 (2005). https://doi.org/10.1007/s10350-004-0837-z

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  • DOI: https://doi.org/10.1007/s10350-004-0837-z

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