Colonic necrosis of vague aetiology presenting scarce clinical and radiological symptoms: a case report

Andrzej Żyluk, Wojciech Jagielski

Abstract


Spontaneous colonic necrosis is very uncommon in a patient without predisposed disorders such as end-stage renal failure in dialysed patients, serious cardiac failure, sepsis, post-traumatic shock, and vascular surgery within an abdominal aorta. This paper presents the case of an elderly patient in whom necrosis of almost the whole colon had occurred within 2 days. At presentation the patient had no clinical symptoms or signs suggesting serious abdominal disease. There was also a lack of biochemical abnormalities and changes in angio-CT. Due to deterioration of the patient’s general condition, he underwent surgery which revealed necrosis of almost the whole colon. The necrotic colon was resected, followed by a terminal ileostomy. Despite the operation, the patient died 2 days after.

Keywords


spontaneous colonic necrosis; non-occlusive ischaemic colitis; angio-CT

Full Text:

PDF

References


Gutowski P. Chirurgia naczyniowa. Choroby tętnic. In: Żyluk A, editor. Zarys chirurgii. Podręcznik dla studentów i lekarzy w trakcie specjalizacji. Warszawa: Medipage; 2016. p. 473-508.

Sakai L, Keltner R, Kaminski D. Spontaneous and shock-associated ischemic colitis. Am J Surg 1980;140(6):755-60.

Schuler JG, Hudlin MM. Cecal necrosis: infrequent variant of ischemic colitis. Report of five cases. Dis Colon Rectum 2000;43(5):708-12.

Hunter JP, Saratzis A, Zayyan K. Spontaneous, isolated caecal necrosis: report of a case, review of the literature, and updated classification. Acta Chir Belg 2013;113(1):60-3.




DOI: https://doi.org/10.21164/pomjlifesci.721

Copyright (c) 2020 Andrzej Żyluk, Wojciech Jagielski

License URL: https://creativecommons.org/licenses/by-nc-nd/3.0/pl/