Korean J Gastrointest Endosc > Volume 27(3); 2003 > Article
Korean Journal of Gastrointestinal Endoscopy 2003;27(3): 166-170.
낙상 후 발현된 허혈성 대장염 1예
우영식·나종명·최강현·이진선·장우임·정우철·이강문·양진모·정인식·선희식
가톨릭대학교 의과대학 내과학교실
A Case of Ischemic Colitis due to Falling Down
Young Sik Woo, M.D., Jong Myung Na, M.D., Kang Hyun Choi, M.D., Jin Sun Lee, M.D., U Im Jang, M.D., Woo Chul Chung, M.D., Kang Moon Lee, M.D., Jin Mo Yang, M.D., In Sik Chung, M.D. and Hee Sik Sun, M.D.
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
Ischemic colitis, the most common form of acute mesenteric ischemia, is encountered primarily in elderly patients, and frequently presents with abdominal cramping pain and hematochezia. Both occlusive and nonocclusive underlying mechanisms have been proposed, but the precise pathophysiology remains unknown. On colonoscopy, the earlier signs of ischemic colitis are mucosal hyperemia, edema, and hemorrhagic nodules representing submucosal bleeding. It is followed by well-demarcated elongated ulcerations covered with exudate. In most cases, the clinical course is transient and self-limiting. After conservative treatment with hydration, cessation of food, and broad-spectrum antibiotics, clinical symptoms improve within several days. Recently, we have experienced a case of ischemic colitis following falling down and report this case with a review of the literature.
Key Words: Ischemic colitis, Accidental falls
주요어: 허혈성 대장염, 낙상
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