Focal Chronic Ischemic Colitis Involving the Cecum Mimicking a Neoplasm

Cheema, Usman; Torgerson, Stuart; Ahluwalia, Jatinder

doi:10.14309/00000434-201010001-00912

Search citation statements

Order By: Relevance

Paper Sections

Select...

Introduction1

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2023

Publication Types

Select...

Article1

Relationship

Self Cite0

Independent1

Authors

Journals

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The pathophysiology of the ICN is lack of blood flow to the cecum, either through thrombosis or relative hypotension. 1 , 2 It commonly occurs in patients with multiple comorbidities including end-stage renal disease or chronic kidney disease, hyperlipidemia, hypertension, diabetes, and cardiovascular disease. 3 , 4 In this report, we present a case of ICN mimicking a colon mass in an elderly patient with few medical comorbidities.…”

Section: Introductionmentioning

confidence: 99%

Isolated Cecal Necrosis Mimicking a Colonic Mass

et al. 2023

View full text Add to dashboard Cite

Isolated cecal necrosis (ICN) is a rare form of ischemic colitis that can mimic conditions such as appendicitis, malignancy, or diverticulitis. Most cases of ICN have been identified in patients with significant comorbidities that increase risk of vascular disease. We present a case of ICN mimicking a mass lesion in an elderly patient with few comorbid conditions. Although computed tomography was concerning for colonic mass, diagnostic colonoscopy revealed ischemic colon. The patient underwent right hemicolectomy, and pathology confirmed ICN. It is important to recognize conditions ICN can mimic, understand ICN can present without acute abdomen, and consider ICN in the differential diagnosis even in relatively healthy patients without a history of vascular disease.

show abstract