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Ischemic dilatation of the colon

  • Case Report
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The American Journal of Digestive Diseases Aims and scope Submit manuscript

Summary

Ischemic colitis may present as dilatation of the colon, often seen in acute ulcerative colitis. Clinical history and radiographic findings usually suffice to differentiate these two lesions. Prompt surgical treatment is indicated for ischemic dilatation.

Two cases are presented to show that ischemic colitis may progress to transmural gangrene, without striking clinical change. Repeated barium enema and plain abdominal films are required for the management of patients with ischemic colitis, who do not promptly recover. The progression from thumb printing to ulcerative and pseudopolypoid changes on barium enema, or the development of dilatation in a segment of ischemic colon, indicates necrosis and requires immediate surgical treatment.

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Authors and Affiliations

  1. From the Departments of Surgery and Radiology, School of Medicine, University of Pennsylvania, 19104, Philadelphia

    Ernest F. Rosato MD,  Francis E. Rosato MD (Advanced Clinical Fellow), John Scott MD, Harte Crow MD & Wallace T. Miller MD

  2. American Cancer Society, USA

    Francis E. Rosato MD (Advanced Clinical Fellow)

Authors
  1. Ernest F. Rosato MD
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  2. Francis E. Rosato MD
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  3. John Scott MD
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  4. Harte Crow MD
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  5. Wallace T. Miller MD
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Rosato, E.F., Rosato, F.E., Scott, J. et al. Ischemic dilatation of the colon. Digest Dis Sci 14, 922–928 (1969). https://doi.org/10.1007/BF02233215

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  • DOI: https://doi.org/10.1007/BF02233215

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