[Abdominal pain, fresh blood in the anus]

Publication

[Abdominal pain, fresh blood in the anus]

Journal Paper/Review - Dec 7, 1993

Bauer S, Meyenberger Christa, Wirth H P, Flury R

Units

Gastroenterology/Hepatology

PubMed

8272709

Citation

Bauer S, Meyenberger C, Wirth H, Flury R. [Abdominal pain, fresh blood in the anus]. Schweizerische Rundschau für Medizin Praxis = Revue suisse de médecine Praxis 1993; 82:1424-8.

Type

Journal Paper/Review (Deutsch)

Journal

Schweizerische Rundschau für Medizin Praxis = Revue suisse de médecine Praxis 1993; 82

Publication Date

Dec 7, 1993

Issn Print

1013-2058

Pages

1424-8

Brief description/objective

A 60-year-old lady with type II diabetes, arterial hypertension and 'melancholia' was treated with Lithium, a neuroleptic (Leponex) and an ACE inhibitor (Reniten). She was referred to our hospital because of abdominal pain, subfebrile temperatures, diarrhea and hematochezia. The radiological and sonographic examinations showed a thickened wall of the left hemicolon. Colonoscopy revealed a sharply delineated segment with pronounced inflammation in the descending colon and the proximal sigmoid colon, suggestive for an ischemic colitis. Histology of the inflamed colon was compatible with this diagnosis. Under suspended enteral feeding and antibiotic therapy the symptoms disappeared within two weeks, and a control colonoscopy six weeks later was completely normal. 1 1/2 years later the patient suffered from a second episode of ischemic colitis exactly a the same site. Again, complete cure was achieved by conservative treatment.