A case of gangrenous ischemic colitis associated with cancer of the sigmoid colon

Sang Kyoon Kim,; Sang Woo Nam,; Se In Kim,; Eun Young Jo,; Sang Wook Kim,; Seung Ok Lee,; Soo Teik Lee,

Korean J Med > Volume 73(3); 2007 > Article

Original Article

The Korean Journal of Medicine 2007;73(3):871-875.

A case of gangrenous ischemic colitis associated with cancer of the sigmoid colon

Sang Kyoon Kim, Sang Woo Nam, Se In Kim, Eun Young Jo, Sang Wook Kim, Seung Ok Lee, Soo Teik Lee

경희대학교 의과대학 순환기내과학교실

증례 : S상 결장암에 동반된 괴사성 허혈성 대장염 1예

김상균&#;남상우&#;김세인&#;조은영&#;김상욱&#;이승옥&#;이수택, Sang Woo Nam, Se In Kim, Eun Young Jo, Sang Wook Kim, Seung Ok Lee, Soo Teik Lee

Abstract

Ischemic colitis associated with colon cancer is a rare condition; an obstructive lesion, usually in the distal colon, is usually identified in these patients. This condition is thought to be caused by elevated intraluminal pressure and bacterial stasis in the obstructed bowel, which leads to the development of the ischemia. Usually, the ischemic colitis improves after conservative treatment. Serious complications such as gangrene, perforation and peritonitis are rare. We report a case of gangrenous ischemic colitis proximal to a cancer of the sigmoid colon that was confirmed by colonoscopy and surgical findings. (Korean J Med 73:S871-S875, 2007)

Key Words: Ischemic colitis, Colon cancer