A Case of Multiple Ischemic Colon Ulcers

Takeshi Gohongi, Takesaburo Ogata*, Hiroyuki Iida, Naoto Gunji, Reiko Nakai and Kazuo Orii

Department of Surgery and Department of Pathology*, Tsukuba Gakuen Hospital

A 78-year-old woman with ischemic heart disease was admitted with the chief complaint of lower abdominal pain and diarrhea. X-ray and endoscopy revealed multiple colon ulcers. Seven months later, subtotal colectomy was performed under her peritonitis condition. Ten round ulcers of various sizes from Ul-II to Ul-IV in grade were irregularly distributed from the ascending colon to the sigmoid colon. These ulcers sharply bordered normal mucosa and showed flat surface without epithelial regeneration. Histological study on serial sections revealed some organized microemboli in the subserosal small arteries lying under ulcer lesions. She suffered from postoperative candidiasis. Despite intensive life support, she died of cardiac and renal failure on the postoperative 275^th day. Multiple ischemic ulceration of the colon is very rare. Such a case may increase in number in the aging society coming in Japan.

Key words
multiple colon ulcers, inflammatory bowel disease, ischemic colitis

Reprint requests
Takeshi Gohongi Department of Surgery, Tsukuba Gakuen Hospital
2573-1 Kamiyokoba, Tsukuba, 305-0854 JAPAN

Accepted
October 19, 2005

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