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Ischemic Colitis Presented as Pseudomembranous Colitis: An Untypical Case from Vietnam
Tien Manh Huynh,Quang Dinh Le,Khanh Lan Nguyen Bui,Minh Quang Huynh Bui,Cong Minh Hong Vo,Duc Trong Quach 대한소화기학회 2022 대한소화기학회지 Vol.80 No.2
Ischemic colitis (IC) is an underreported chronic disease characterized by the hypoperfusion of the bowel mucosa. The diagnosis and treatment may be challenging because its clinical course resembles other colitis or even colorectal malignancies. This paper reports an untypical case to underline the diversity of IC manifestation. A 68-year-old man with several comorbidities was admitted because of abdominal pain with a 6-month duration and a mass in the left lower quadrant. Colonoscopy revealed erosive pseudomembranous colitis narrowed colon segments with ulcerated mucosa mimicking colorectal cancer and inflammatory bowel disease. The stool cultures and Clostridium difficile toxin tests were negative. After the failure of conservative therapy, the Hartmann procedure with temporary ileostomy was performed uneventfully. The histological results of the surgical specimens revealed IC with focal pseudomembranous areas.
Tien Manh Huynh,Quang Dinh Le,Mai Ngoc Luu,Tram Thi Huyen Nguyen,Quy Nhuan Bui,Anh Phan Tuong Mai,Thang Hiep Duc Tran,Hien Minh Tran,Cong Hong Minh Vo,Duc Trong Quach 소화기인터벤션의학회 2022 Gastrointestinal Intervention Vol.11 No.3
Jejunal Dieulafoy lesion (DL) is an exceedingly rare, life-threatening cause of gastrointestinal bleeding. Due to its rarity, intermittent bleeding symptoms that often necessitate prompt clinical intervention, variability in detection and treatment methods, and the risk of rebleeding, this condition frequently presents a diagnostic and therapeutic conundrum. We report a case of severe, intermittent, recurrent hematochezia due to a jejunal DL that was difficult to localize. In this case, the metallic coils used as a radiopaque marker allowed surgeons to accurately identify the bleeding site during intraoperative enteroscopy and successfully manage the lesion with minimally invasive laparoscopic surgery.
Tien Manh Huynh,Quang Dinh Le,Mai Ngoc Luu,Tram Thi Huyen Nguyen,Quy Nhuan Bui,Anh Phan Tuong Mai,Thang Hiep Duc Tran,Hien Minh Tran,Cong Hong Minh Vo,Duc Trong Quach 소화기인터벤션의학회 2022 International journal of gastrointestinal interven Vol.11 No.3
Jejunal Dieulafoy lesion (DL) is an exceedingly rare, life-threatening cause of gastrointestinal bleeding. Due to its rarity, intermittent bleeding symptoms that often necessitate prompt clinical intervention, variability in detection and treatment methods, and the risk of rebleeding, this condition frequently presents a diagnostic and therapeutic conundrum. We report a case of severe, intermittent, recurrent hematochezia due to a jejunal DL that was difficult to localize. In this case, the metallic coils used as a radiopaque marker allowed surgeons to accurately identify the bleeding site during intraoperative enteroscopy and successfully manage the lesion with minimally invasive laparoscopic surgery.