2019 Volume 94 Issue 1 Pages 98-100
A case was a 77-year-old male dialysis patient. He had a history of arteriosclerosis-related diseases such as angina, peripheral arterial disease and diabetic nephropathy.
He developed a peripheral arterial disease and had catheter treatment. 16 days after the treatment, he presented with lower right abdominal pain on the day of dialysis. On the day after consultation, CT imaging showed edematous swelling wall in the cecum. Colonoscopy showed the presence of ulcers localized in the opposite side of the ileocecal valve. Examination of a biopsy sample revealed granulation tissue with inflammatory cells and capillaries hyperplasia, which is consistent with ischemic colitis. The bacterial culture indicated negative. These findings led to a diagnosis of ischemic colitis and we started conservative treatment. After the treatment, clinical symptoms were improved and the follow up colonoscopy showed the ulcer scars covered with regenerated epithelium. A case of ischemic colitis of the cecum is very rare. We reported a case of transient ischemic colitis located in the cecum induced by catheter treatment and low blood flow after dialysis.
