Korean J Gastrointest Endosc.  2004 Jun;28(6):321-325.

A Case of Extensive Gangrenous Ischemic Colitis Proximal to Rectal Cancer

Affiliations
  • 1Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea. jassa@ewha.ac.kr

Abstract

The ischemic colitis occurring proximal to obstructive colon cancer is a rare case, which has the prevalence ranging 1% to 7% of the colon cancer. The pathogenesis is unclear but it is thought that raised intraluminal pressure, distension and bacterial stasis in the partially obstructive bowel play a role in developement of ischemia. The ischemic damage of colon is usually localized and reversible. However we experienced a case of extensive gangrenous ischemic colitis associated with rectal cancer in 48-year-old man, and he developed acute abdominal symptom and needed prompt surgical operation. So we reports this case with a review of literature.

Keyword

Rectal cancer; Ischemic colitis
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