TWO CASES OF TRANSIENT TYPE ISCHEMIC PROCTITIS

Abstract

We report herein on 2 cases of transient type ischemic proctitis after constipation for 5 days and oral administration of a laxative. The patients had no history of abdominal aortic surgery, pelvic surgery, connective tissue disease/vasculitis, arteriovenous fistula and so on, and the disease was considered to have occurred mainly because of intestinal factors. In addition, both cases showed lesions just above the anus. Although marked elevation of the C-reactive protein (CRP) level was observed, this level rapidly decreased after conservative treatment. Ischemic proctitis has been thought to occur mainly because of vascular factors, but the findings of the present cases are considered valuable because they indicate that the disease may occur mainly because of intestinal factors.