Publication

[Abdominal pain, fresh blood in the anus]

Journal Paper/Review - Dec 7, 1993

Units
PubMed

Citation
Bauer S, Meyenberger C, Wirth H, Flury R. [Abdominal pain, fresh blood in the anus]. Schweizerische Rundschau für Medizin Praxis = Revue suisse de médecine Praxis 1993; 82:1424-8.
Type
Journal Paper/Review (Deutsch)
Journal
Schweizerische Rundschau für Medizin Praxis = Revue suisse de médecine Praxis 1993; 82
Publication Date
Dec 7, 1993
Issn Print
1013-2058
Pages
1424-8
Brief description/objective

A 60-year-old lady with type II diabetes, arterial hypertension and 'melancholia' was treated with Lithium, a neuroleptic (Leponex) and an ACE inhibitor (Reniten). She was referred to our hospital because of abdominal pain, subfebrile temperatures, diarrhea and hematochezia. The radiological and sonographic examinations showed a thickened wall of the left hemicolon. Colonoscopy revealed a sharply delineated segment with pronounced inflammation in the descending colon and the proximal sigmoid colon, suggestive for an ischemic colitis. Histology of the inflamed colon was compatible with this diagnosis. Under suspended enteral feeding and antibiotic therapy the symptoms disappeared within two weeks, and a control colonoscopy six weeks later was completely normal. 1 1/2 years later the patient suffered from a second episode of ischemic colitis exactly a the same site. Again, complete cure was achieved by conservative treatment.