ENDOSCOPIC OBSERVATION OF A CASE OF NON-OCCLUSIVE MESENTERIC ISCHEMIA OVER TIME

Abstract

A 61-year-old man developed abdominal pain during dialysis and consulted our hospital. Colonoscopy showed longitudinal ulcers and a cobblestone appearance along the periphery of ulcers discontinuously in the entire colon. A course of antibiotics, 5-ASA, and nutrition therapy had a limited effect. Barium enema radiography and colonoscopy revealed narrowing of the bowel canal in the terminal ileum and sigmoid colon, and surgery was performed. We made the diagnosis of non-occlusive mesenteric ischemia caused by hypotension during dialysis on the basis of histological findings in the resected specimen.