Abstract
A case of chronic ischemic colitis with calcified lesions in the vein of the colon is experienced. A 77-year-old man was admitted to the hospital because of signs of subileus. A plain X-ray film of the abdomen revealed a niveau and calcification in the right flank. Barium enema showed narrowed and serrated lumens from the cecum to transverse colon. The state of ileus was not improved against conservative therapy, so operation was done with a preoperative diagnosis of ischemic colitis. During surgery a dark black-colored colon with swollen wall extending from the cecum to sigmoid was found. It was considered an ileus caused by passage disturbance, and the colon from the cecum to sigmoid was removed. A soft X-ray film of the specimen was taken to identify the site of calcification. It showed tree-like appearance from the cecum to ascending colon as if contrast medium was injected. On pathological findings, all layers of the wall, especially submucosal layer, were inflammed.
