Korean J Gastrointest Endosc.  2010 Feb;40(2):130-134.

A Case of Non-occlusive Ischemic Colitis of the Right Colon after Percutaneous Coronary Intervention

• Lim SR
• Kim HS
• Ryu HS
• Cho JH
• Park SY
• Joo YE
• Choi SK
• Rew JS

Abstract

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.

Keyword

Ischemic colitis; Right colon; Percutaneous coronary intervention

MeSH Terms

Angina, Unstable
Aortic Valve
Arrhythmias, Cardiac
Cardiac Output, Low
Cardiovascular Diseases
Colitis
Colitis, Ischemic
Colon
Colon, Descending
Colon, Sigmoid
Colon, Transverse
Dehydration
Early Diagnosis
Heart Defects, Congenital
Heart Diseases
Heart Failure
Heart Valve Diseases
Myocardial Infarction
Percutaneous Coronary Intervention
Aortic Valve
Heart Defects, Congenital
Heart Valve Diseases