2018 Volume 43 Issue 4 Pages 649-653
A man in his 70s with a known history of hypertension presented to a previous hospital with an acute epidural hematoma. He appeared to demonstrate a clinical picture of acute abdomen and subsequently presented to our hospital. He was diagnosed with ischemic colitis and was admitted to our hospital. Laboratory investigations showed a high lactic acid level with metabolic acidosis leading to a suspicion of necrosis of the intestinal tract for which he underwent an exploratory laparotomy. Intraoperatively, we noted necrosis throughout the colon and performed a subtotal colectomy and colostomy of the small intestine. Following an unremarkable postoperative course, he was discharged from the hospital postoperatively after 29 days. Histopathological findings revealed ischemic colitis throughout his colon. We report a rare case of gangrenous ischemic colitis of the entire colon.
