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