Ischemic Colitis after Iliac Stenting / 대한혈관외과학회지
Journal of the Korean Society for Vascular Surgery
;
: 23-27, 2013.
Artigo
em Coreano
| WPRIM
| ID: wpr-726645
ABSTRACT
An ischemic colitis of the sigmoid colon and rectum following iliac balloon and stenting can be caused by embolism. The patient was 60 years old with a 20 year history of smoking. She had chief complaints of right calf claudication. From a lower extremity computed tomography (CT) scan, right iliac total occlusion (Trans-Atlantic Inter-Society Consensus C) and internal iliac artery occlusion were both observed. The patient had a hysterectomy history about 30 years ago. To improve right leg claudication, endovascular treatment was attempted through the right common femoral artery. There was no severe resistance to pass the occluded lesion. About 5 hours after successful stenting, she complained of a vague low abdominal discomfort and pain. There were no specific changes in the intraperitoneal organ in the follow-up CT scan. On postoperative day 1, she complained of aggravated lower abdominal pain. To confirm ischemic colitis, we performed a colonoscopy and both erythematous mucosal swelling and pethechia were present. On laparotomy, transmural infarction of the sigmoid colon and rectum were found and resected. A high level suspicion and a low threshold for performing colonoscopy are important in any patient thought to have ischemic colitis after iliac stenting.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Reto
/
Colo Sigmoide
/
Fumaça
/
Fumar
/
Dor Abdominal
/
Stents
/
Seguimentos
/
Colonoscopia
/
Colite Isquêmica
/
Colite
Tipo de estudo:
Guia de Prática Clínica
/
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Society for Vascular Surgery
Ano de publicação:
2013
Tipo de documento:
Artigo
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