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KMID : 0359020100400020130
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Korean Journal of Gastrointestinal Endoscopy
2010 Volume.40 No. 2 p.130 ~ p.134
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A Case of Non-occlusive Ischemic Colitis of the Right Colon after Percutaneous Coronary Intervention
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Lim Sung-Ryoun
Kim Hyun-Soo
Ryu Ho-Seong
Cho Jun-Ho
Park Sun-Young
Joo Young-Eun
Choi Sung-Kyu
Rew Jong-Sun
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Abstract
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Ischemic colitis is the most common form of gastrointestinal ischemic injury. Indeed, many medical conditions and medications can cause reduced blood flow to the colon. The splenic flexure, descending colon, and sigmoid colon are most commonly affected. Involvement of only the right colon is an infrequent occurrence. Ischemic colitis of the right colon usually is associated with low flow states. Given the high morbidity and mortality of this disorder, early diagnosis and aggressive management is critical. Ischemic colitis associated with heart disease, such as congestive heart failure, myocardial infarction, arrhythmias, aortic valve disease, and atherosclerotic cardiovascular disease, is usually due to low cardiac output, or to disease states resulting in dehydration, or to the splanchnic vasoconstrictive effect of some medications. Here we present a case of nonocclusive ischemic colitis of the right colon after percutaneous coronary intervention for unstable angina. The colitis was successfully treated with conservative management.
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KEYWORD
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Ischemic colitis, Right colon, Percutaneous coronary intervention
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