1995 Volume 47 Pages 109-112
Ischemic colitis is often observed on examination of emergency colonofiberscopy. The patient was a 68-year-old man who had undergone an operation for sigmoid colon cancer 3 years before this examination. Barium enema was arranged to monitor his progress. He had diarrhea and bloody stools with colonalgia when magnesium citrate and sodium picosulfate were subsequently given for preparation of his colon. Results of the emergency colonofiberscopy, barium enema and pathology of the biopsy specimen led to a diagnosis of ischemic colitis. Colonoscopic findings showed that the mucosa from the anastomosis site to the mid transverse colon were hemorrhagic, edematous and erosive.
In this patient, the disorder was allevited in a few days by coservative therapy. This case was a transient type of ischemic colitis. We conclude that preparation of colons should be carried out carefully.