Two Cases of Gangrenous-Type Ischemic Colitis

Takero Mazaki, Norio Okamura, Kenji Watanabe, Masahiko Kunimatsu, Koichiro Yorimitsu, Takashi Tanaka¹⁾

Department of Surgery, Choshi City General Hospital
Third Department of Surgery, Nihon University School of Medicine¹⁾

Two cases of gangrenous-type ischemic colitis are described. The patient in case 1 was a 64-year-old man and the patient in case 2 was a 60-year-old woman. Rebound tednerness was elicited in their abdomens. He had liver-cirrhosis and she had chronic renal failure as an associated medical problem. Gangrenous-type ischemic colitis was diagnosed by Barium enema, ultrasonography and computed tomography (CT). Right hemicolectomy was performed for him and left hemicolectomy with transverse colostomy was performed for her. His surgical specimens revealed mucosal necrosis and inflammatory infiltration. Her surgical specimens revealed necrosis of the total layer. The first patient was discharged, whereas in case 2 the patient had a complicating peritonitis caused by stomal necrosis and died of pneumonia. In gangrenous-type ischemic colitis it is important that early diagnosis and immediate surgery be performed and attention must be paid to postoperative management.

Key words
gangrenous type of ischemic colitis

Reprint requests
Takero Mazaki Third Department of Surgery, Nihon University School of Medicine
30-1 Kamimachi-Oyaguchi ltabashi-ku, Tokyo, 173 JAPAN

Accepted
November 11, 1992

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