Ischemic colitis associated with colonic carcinoma

Lewin, Julian R.; Hahn, Hwei-Shien L.

doi:10.1007/bf02609318

Cited by 10 publications

(1 citation statement)

References 6 publications

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“…The term “necrotizing colitis” was apparently introduced 3 in 1960 and Kremer 4 was the first to report a case of NC. It has different names such as ulcero–inflammatory colitis, 5 ischemic colitis, 6 , 7 ulcerative 5 , 8 or pseudo-ulcerative colitis, 9 gangrenous colitis, 10 obstructive colitis, 11 , 12 and idiopathic colitis. 13 …”

Section: Discussionmentioning

confidence: 99%

Necrotizing Colitis with Perforation Proximal to Obstructive Ascending Colon Cancer: A Case Report

Pradhan¹,

Satyam²,

Jain³

2023

Euroasian Journal of Hepato-Gastroenterology

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A bstract Background Necrotizing colitis (NC) with perforation is a rare complication of the obstructive cancer of the right colon. Case description We report here a case of a 45-year-old female patient of mucinous adenocarcinoma of ascending colon, which presented as acute NC with perforation proximal to obstructing colonic carcinoma with their imaging features on computed tomography (CT). The purpose of this article is to highlight the role of CT in distinguishing an ischemic and a tumoral segment in the carcinomas complicated by proximal bowel ischemia. Conclusion Imaging plays a great role in distinguishing an ischemic and a tumoral segment in carcinomas complicated by proximal bowel ischemia. The identification of NC will help to accurately stage colonic cancer. How to cite this article Satyam S, Jain K, Pradhan G. Necrotizing Colitis with Perforation Proximal to Obstructive Ascending Colon Cancer: A Case Report. Euroasian J Hepato-Gastroenterol 2022;12(2):95–97.

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Section: Discussionmentioning

confidence: 99%

Necrotizing Colitis with Perforation Proximal to Obstructive Ascending Colon Cancer: A Case Report

Pradhan¹,

Satyam²,

Jain³

2023

Euroasian Journal of Hepato-Gastroenterology

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Literature and References

et al. 1984

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Ischaemic colitis and colorectal cancer: some problems and pitfalls

1993

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Four cases out of 204 new cases of colorectal carcinoma seen in a 24 month period were proven to have concomitant proximal ischaemic colitis. Ischaemic colitis associated with obstructing carcinoma of the colorectum may present dramatically with gangrene or colonic perforation if the acute vascular insufficiency is severe. Less severe degrees of ischaemic insult must be recognised intra-operatively as the incorporation of ischaemic colon in a colonic anastomosis may result in an anastomotic leak. Two other patients with ischaemic colitis were wrongly diagnosed as colorectal carcinoma on colonoscopy. Endoscopic features of ischaemic colitis may mimic colonic carcinoma and endoscopic biopsy is essential where any doubt exist as to the possibility of ischaemic colitis so that unnecessary surgery may be avoided.

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Ischemic colitis associated with colonic carcinoma

Cited by 10 publications

References 6 publications

Necrotizing Colitis with Perforation Proximal to Obstructive Ascending Colon Cancer: A Case Report

Necrotizing Colitis with Perforation Proximal to Obstructive Ascending Colon Cancer: A Case Report

Literature and References

Ischaemic colitis and colorectal cancer: some problems and pitfalls

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