eMedicine Specialties > Radiology > Gastrointestinal

Colitis, Ischemic: Follow-up

Author: Ali Nawaz Khan, MBBS, FRCS, FRCP, FRCR, Consultant Radiologist and Honorary Professor, North Manchester General Hospital Pennine Acute NHS Trust, UK
Coauthor(s): Sumaira MacDonald, MBChB, PhD, MRCP, FRCR, Lecturer, Sheffield University Medical School; Endovascular Fellow, Sheffield Vascular Institute; Muthusamy Chandramohan, MBBS, DMRD, FRCR, Consultant Radiologist, Bradford Teaching Hospitals, UK; Claire Barker, MB, ChB, FRCR, Consultant Radiologist, Christie Hospital, NHS Trust, UK
Contributor Information and Disclosures

Updated: Sep 1, 2009

Intervention

Medicolegal Pitfalls

  • Ischemic colitis sometimes develops proximal to a colonic carcinoma as a result of large-bowel obstruction. It is therefore essential to rule out colonic carcinoma in the appropriate clinical setting.
  • Among young adults, ischemic colitis has strong preponderance in females taking oral contraceptives. Physicians treating hemorrhagic colitis in young pregnant women or those taking oral contraceptives should consider the possibility of ischemic colitis.
  • Sickle cell disease is a rare cause of ischemic colitis. It should be considered in patients with crises of abdominal sickle cell veno-occlusive pain. If not recognized, the condition can be fatal.
  • Ischemic colitis caused by mesenteric hematoma as a complication of endoscopic retrograde cholangiopancreatography has been reported. Prompt evaluation and awareness of potential complications should help capture potentially life-threatening sequelae of endoscopic retrograde cholangiopancreatography.
 


More on Colitis, Ischemic

Overview: Colitis, Ischemic
Imaging: Colitis, Ischemic
Follow-up: Colitis, Ischemic
Multimedia: Colitis, Ischemic
References
Further Reading
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References

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Keywords

colitis, ischemic colitis, reversible vascular occlusion of the colon, mesenteric ischemia, intestinal necrosis, mesenteric thrombosis, mesenteric infarction, transmural infarction, mucosal infarction, mural infarction

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Contributor Information and Disclosures

Author

Ali Nawaz Khan, MBBS, FRCS, FRCP, FRCR, Consultant Radiologist and Honorary Professor, North Manchester General Hospital Pennine Acute NHS Trust, UK
Ali Nawaz Khan, MBBS, FRCS, FRCP, FRCR is a member of the following medical societies: American Association for the Advancement of Science, American Institute of Ultrasound in Medicine, British Medical Association, British Society of Interventional Radiology, Royal College of Physicians, Royal College of Physicians and Surgeons of the United States, Royal College of Radiologists, and Royal College of Surgeons of England
Disclosure: Nothing to disclose.

Coauthor(s)

Sumaira MacDonald, MBChB, PhD, MRCP, FRCR, Lecturer, Sheffield University Medical School; Endovascular Fellow, Sheffield Vascular Institute
Sumaira MacDonald, MBChB, PhD, MRCP, FRCR is a member of the following medical societies: British Medical Association, Royal College of Physicians, and Royal College of Radiologists
Disclosure: Nothing to disclose.

Muthusamy Chandramohan, MBBS, DMRD, FRCR, Consultant Radiologist, Bradford Teaching Hospitals, UK
Disclosure: Nothing to disclose.

Claire Barker, MB, ChB, FRCR, Consultant Radiologist, Christie Hospital, NHS Trust, UK
Claire Barker, MB, ChB, FRCR is a member of the following medical societies: Royal College of Radiologists
Disclosure: Nothing to disclose.

Medical Editor

Neela Lamki, MD, Professor, Department of Radiology, Sultan Qaboos University, Oman; Adjunct Professor, Department of Radiology, Baylor College of Medicine
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Spencer B Gay, MD, Professor of Radiology, Director of Body Computed Tomography, Department of Radiology, University of Virginia Health Sciences Center
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Resolution Imaging Medical Corporation
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Radiologist, Virginia Mason Medical Center; Clinical Assistant Professor of Radiology, University of Washington School of Medicine
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

 
 
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