J Korean Rheum Assoc.
1999 Dec;6(4):329-334.
A Case of Segmental Ischemic Colitis Associated with Nonsteroidal Antiinflammatory Drugs
- Affiliations
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- 1Department of Internal Medicine, The Catholic University of Korea, College of Medicine, Korea.
- 2Department of General Surgery, The Catholic University of Korea, College of Medicine, Korea.
- 3Department of Pathology, The Catholic University of Korea, College of Medicine, Korea.
Abstract
- Acute colonic ischemia is the most common form of gastrointestinal ischemia. The majority of cases of non-occlusive ischemic colitis are associated with severe congestive heart failure with low cardiac output, or disease states resulting in dehydration, or the splanchnic vasoconstrictive effect of some dedications. Reactive splanchnic vasoconstriction is responsible for nonocclusive ischemic colitis. The authors report a case of 37-year-old man, who had a history of 8-year gout and no evidence of heart disease or severe dehydration and developed segmental ischemic colitis during nonsteroidal antinflammatory drug treatment, which ultimitely progressed to transmural infacrction, therby undergone extended right hemicolectomy
