Lee SO, Kim SH, Jung SH, Park CW, Lee MJ, Lee JA, Koo HC, Kim A, Han HY, Kang DW. Colonoscopy-induced ischemic colitis in patients without risk factors. World J Gastroenterol 2014; 20(13): 3698-3702 [PMID: 24707156 DOI: 10.3748/wjg.v20.i13.3698]
Corresponding Author of This Article
Sae Hee Kim, MD, Division of Gastroenterology, Department of Internal Medicine, Eulji University College of Medicine, Eulji University Hospital, 1306 Dunsan-dong, Seo-Gu, Daejeon 302-799, South Korea. cozy129@eulji.ac.kr
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
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World J Gastroenterol. Apr 7, 2014; 20(13): 3698-3702 Published online Apr 7, 2014. doi: 10.3748/wjg.v20.i13.3698
Colonoscopy-induced ischemic colitis in patients without risk factors
Sang Ok Lee, Sae Hee Kim, Sung Hee Jung, Chan Woong Park, Min Ji Lee, Jin A Lee, Hyun Cheol Koo, Anna Kim, Hyun-Young Han, Dong-Wook Kang
Sang Ok Lee, Sae Hee Kim, Sung Hee Jung, Chan Woong Park, Min Ji Lee, Jin A Lee, Hyun Cheol Koo, Anna Kim, Division of Gastroenterology, Department of Internal Medicine, Eulji University College of Medicine, Eulji University Hospital, Daejeon 302-779, South Korea
Hyun-Young Han, Department of radiology, Eulji University College of Medicine, Eulji University Hospital, Daejeon 302-779, South Korea
Dong-Wook Kang, Department of pathology, Eulji University College of Medicine, Eulji University Hospital, Daejeon 302-779, South Korea
Author contributions: Lee SO interpreted the data and wrote the manuscript; all authors contributed to analyzing the patient’s data and revising the article; Kim SH approved the final manuscript.
Correspondence to: Sae Hee Kim, MD, Division of Gastroenterology, Department of Internal Medicine, Eulji University College of Medicine, Eulji University Hospital, 1306 Dunsan-dong, Seo-Gu, Daejeon 302-799, South Korea. cozy129@eulji.ac.kr
Telephone: +82-42-6113063 Fax: +82-42-2591111
Received: October 30, 2013 Revised: December 10, 2013 Accepted: January 14, 2014 Published online: April 7, 2014 Processing time: 155 Days and 18 Hours
Abstract
Ischemic colitis is the most common form of intestinal ischemia. It is a condition that is commonly seen in the elderly and among individuals with risk factors for ischemia. Common predisposing conditions for ischemic colitis are major vascular occlusion, small vessel disorder, shock, some medications, colonic obstructions and hematologic disorders. Ischemic colitis following colonoscopy is rare. Here, we report two cases of ischemic colitis after a routine screening colonoscopy in patients without risk factors for ischemia.
Core tip: Ischemic colitis following colonoscopy is rare and is predominantly involved at the sigmoid colon and splenic flexure. However, our two cases were found on the right side of the colon after a routine screening colonoscopy in patients without risk factors for ischemia. We believe these cases are interesting and instructive for gastroenterologists.
