A CASE OF ISCHEMIC ENTERITIS

Abstract

A 79-year-old woman was admitted to our hospital with a complaint of abdominal pain on April 29, 1992. She had past histories of cerebral infarction at the age of 64 and right hemicolectomy due to colonic cancer at the age of 78. Colonoscopic examination on May 7 showed circumferential erosion, edematous mucosa and stenosis from the intestinal anastomosis to the oral side. Barium enema study on May 8 showed tubular stenosis and disappearance of Kerkring folds from the intestinal anastomosis to the oral side for about 40 cm long. Operation was performed on June 3 because of the colonoscopic examination on May 25 showed circumferential ulcer and severe stenosis. We diagnosed ischemic enteritis by the macroscopic characteristics and the microscopic appearance of the resected specimen.