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2014, Number 4

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Cir Cir 2014; 82 (4)

Colonic necrosis and stricture due to non-occlusive ischemic colitis. Report of two cases and review of the literature

Reyes-Zamorano J
Full text How to cite this article

Language: Spanish
References: 17
Page: 442-447
PDF size: 394.48 Kb.


Key words:

Ischemic colitis, ischemic stricture, colonic gangrene, colectomy.

ABSTRACT

Background: Non-occlusive ischemic colitis appears to be a collection of diseases rather than a single entity. The presumed etiologies are numerous; however, it typically develops spontaneously in the absence of major vasculature occlusion. It includes a wide clinical spectrum ranging from mild to severe forms. Some patients may develop complications and management of this disorder depends on disease severity.
Objective: Report of two cases and review of the literature.
Clinical case: Two cases are described, both requiring surgery with primary anastomosis. One patient had colonic gangrene that required an open right colectomy and the other a totally laparoscopic left colectomy for a stricture.
Conclusion: Non-occlusive ischemic colitis is idiopathic. Some patients requiring surgery may be selected to undergo primary anastomosis and laparoscopic surgery.


REFERENCES

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